Pre-pregnancy transabdominal cerclage

被引:17
作者
Thuesen, Lea Langhoff [1 ,2 ]
Diness, Birgitte Rode [1 ,2 ]
Langhoff-Roos, Jens [1 ,2 ]
机构
[1] Univ Copenhagen Hosp, Dept Obstet & Gynecol, Rigshospitalet, Copenhagen, Denmark
[2] Univ Copenhagen Hosp, Rigshosp, Dept Obstet & Gynecol, DK-2100 Copenhagen, Denmark
关键词
Transabdominal cerclage; cervical incompetence; fetal loss; FAILED TRANSVAGINAL CERCLAGE; PREGNANCY; OUTCOMES; PREDICT;
D O I
10.1080/00016340902730383
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
A consecutive series of 45 women with one or more previous second trimester deliveries, who had a pre-pregnancy transabdominal cerclage (TAC) from 1999 to July 2007, was followed until January 2008. Within the observation period 50 pregnancies occurred in 36 women. Seven resulted in first trimester abortions, none in second trimester abortions or deliveries, and six were on-going pregnancies. In the remaining 37 pregnancies the fetal salvage rate was 100%, and cesarean section was performed after 34 weeks (mean 36+5 weeks) in 36 (97%) pregnancies. One woman had three successful pregnancies following the procedure. No serious complications were associated with the application of TAC. One woman had a hysterectomy following cesarean section. Pre-pregnancy TAC is a procedure with few complications and excellent outcome. The method may be considered in women with a second trimester fetal loss, when cervical incompetence cannot be ruled out.
引用
收藏
页码:483 / 486
页数:4
相关论文
共 15 条
[1]  
BENSON RC, 1965, OBSTET GYNECOL, V25, P145
[2]   Cervical length and obstetric history predict spontaneous preterm birth: development and validation of a model to provide individualized risk assessment [J].
Celik, E. ;
To, M. ;
Gajewska, K. ;
Smith, G. C. S. ;
Nicolaides, K. H. .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2008, 31 (05) :549-554
[3]   Cervical insufficiency: prediction, diagnosis and prevention [J].
Chandiramani, Manju ;
Shennan, Andrew H. .
OBSTETRICIAN & GYNAECOLOGIST, 2008, 10 (02) :99-106
[4]   Patients with a prior failed transvaginal cerclage: A comparison of obstetric outcomes with either transabdominal or transvaginal cerclage [J].
Davis, G ;
Berghella, V ;
Talucci, M ;
Wapner, RJ .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2000, 183 (04) :836-839
[5]   Transabdominal cerclage after comprehensive evaluation of women with previous unsuccessful transvaginal cerclage [J].
Debbs, Robert H. ;
Dela Vega, Guillermo A. ;
Pearson, Stephanie ;
Sehdev, Harish ;
Marchiano, Dominic ;
Ludmir, Jack .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2007, 197 (03) :317.e1-317.e4
[6]   Transabdominal cerclage: Can we predict who fails? [J].
Fick, Andrea L. ;
Caughey, Aaron B. ;
Parer, Julian T. .
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, 2007, 20 (01) :63-67
[7]   Preconception transabdominal cervicoisthmic cerclage [J].
Groom, KM ;
Jones, BA ;
Edmonds, DK ;
Bennett, PR .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2004, 191 (01) :230-234
[8]   Cervical stitch (cerclage) for preventing pregnancy loss: Individual patient data meta-analysis [J].
Jorgensen, A. L. ;
Alfirevic, Z. ;
Smith, C. Tudur ;
Williamson, P. R. .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2007, 114 (12) :1460-1476
[9]   HABITUAL ABORTION - THE INCOMPETENT INTERNAL OS OF THE CERVIX [J].
LASH, AF ;
LASH, SR .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1950, 59 (01) :68-76
[10]   Outcome after transabdominal cervicoisthmic cerclage [J].
Lotgering, Frederik K. ;
Gaugler-Senden, Ingrid P. M. ;
Lotgering, Sabine F. ;
Wallenburg, Henk C. S. .
OBSTETRICS AND GYNECOLOGY, 2006, 107 (04) :779-784