Improving the outcome of cervical cerclage by sonographic follow-up.
A total of 39 patients with the diagnosis of cervical incompetence were followed up with cervical sonography after placement of prophylactic McDonald cerclage. During the first year of study, 3 out of 12 patients treated with prophylactic cerclage demonstrated funneling of the internal cervical os when examined with cervical sonography; all 3 had premature deliveries. During the last 3 years of the study, 8 of 27 patients treated with prophylactic cerclage demonstrated funneling. With active intervention, neonatal survival improved to 100%. Sonography aids in the management of patients with cervical incompetence and improves outcome even after placement of cervical cerclage.
Rana
J
J
Department of Obstetrics and Gynecology, UMDNJ-Robert Wood Johnson Medical School, St. Peter's Medical Center, New Brunswick, New Jersey.
Davis
S E
SE
Harrigan
J T
JT
D000328:Adult; D002584:Cervix Uteri / Q000473:pathology; D005260:Female; D005313:Fetal Death; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007752:Obstetric Labor, Premature; D011247:Pregnancy; D011256:Pregnancy Outcome; D011263:Pregnancy Trimester, Third; D015996:Survival Rate; D014463:Ultrasonography; D002581:Uterine Cervical Incompetence / Q000175:diagnosis / Q000601:surgery*