Ultrasound-indicated cerclage: Shirodkar vs. McDonald

作者: Heather Hume , Andrei Rebarber , Daniel H. Saltzman , Ashley S. Roman , Nathan S. Fox

DOI: 10.3109/14767058.2012.716465

关键词:

摘要: Objective: To compare the efficacy of Shirodkar to McDonald cerclage in patients with singleton pregnancies undergoing an ultrasound-indicated cerclage. Methods: Historical cohort all for indication a short cervix on ultrasound (ultrasound indicated) at one institution 2005–2010. We compared outcomes based type, or McDonald. Outcome measures were gestational age (GA) delivery, delivery ≥35 weeks, ≥32 and PPROM. Multivariable regression analysis was performed control significant variables. Results: Seventy-four underwent study period (47 Shirodkar, 27 McDonald). associated later GA (mean 36.98 +/− 3.39 vs. 33.34 6.37 p = 0.006), higher likelihood delivering weeks (83 55.6%, 0.011) (91.5 59.3%, 0.001), lower pret...

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