Outcomes of pregnancy in women who had rescue cerclage for cervical insufficiency: a single-center retrospective study.

作者: Sirisha Rao Gundabattula , Lakshmi Rathna Marakani , Shashikala Dasari , Kameswari Surampudi , Manjula Pochiraju

DOI: 10.1111/JOG.12059

关键词:

摘要: Aim The aim of this study was to evaluate outcome pregnancies in women with rescue cerclage for cervical insufficiency. Material and Methods A retrospective all who underwent between 2002 2011 at an advanced tertiary care perinatal institute India conducted. Data retrieved from medical records used explore potential associations prolongation pregnancy beyond 28 weeks. Results The mean (standard deviation) gestational age 21.9 (2.7) weeks the 74 study. The McDonald technique preferred method (91.9%). All received antibiotics; tocolytics were 35.1% progesterones 62.2% women. 7.4 42.0% delivering after 30.4% 34 weeks. take-home-baby rate 50.7% (95% confidence interval: 38.7–62.6%). Postoperative vaginal infection present 16.2% women, preterm premature rupture membranes 31.1% neonatal sepsis 5.8% neonates. Cerclage placement 20 negative pathogenic organisms swab culture significantly associated delivery weeks. Conclusions Although half had successful outcomes cerclage, extended previability prematurity most them.

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