title: Cervicovaginal fistulas: management of subsequent pregnancy.
abstract: Cervicovaginal fistulas that develop after midtrimester abortion represent a significant risk to subsequent pregnancies. Since patients with this condition appear to be at increased risk for preterm labor and cervical incompetence, I recommend a cerclage procedure. The probability of complications during labor in such cases makes elective cesarean delivery the method of choice.
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D005402:Fistula / Q000150:complications / Q000601:surgery*; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D002577:Uterine Cervical Diseases / Q000150:complications / Q000601:surgery*; D002581:Uterine Cervical Incompetence / Q000209:etiology; D014624:Vaginal Fistula / Q000150:complications / Q000601:surgery*