Intraoperative amniocentesis and indomethacin treatment in the management of an immature pregnancy with completely dilated cervix.
We performed cervical cerclage on a completely dilated and effaced cervix after decompression of the amniotic sac with intraoperative amniocentesis. Indomethacin was used for tocolysis and to maintain mild oligohydraminios (amniotic fluid index 5-7 cm). The pregnancy was prolonged by 12 days and a viable infant was delivered at 25 weeks' gestation.
Evans
D J
DJ
Department of Obstetrics and Gynecology, York Hospital, Pennsylvania.
Kofinas
A D
AD
King
K
K
D000328:Adult; D000649:Amniocentesis; D002584:Cervix Uteri / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007213:Indomethacin / Q000627:therapeutic use*; D007231:Infant, Newborn; D007432:Intraoperative Period; D007752:Obstetric Labor, Premature / Q000628:therapy*; D011247:Pregnancy; D015145:Tocolysis; D002581:Uterine Cervical Incompetence / Q000503:physiopathology / Q000628:therapy*
D007213:Indomethacin