Cervical cerclage for the incompetent cervical Os. Improving the fetal salvage rate.
The precerclage and postcerclage term delivery rate (TDR), premature delivery rate (PDR) and late abortion rate (LAR) were evaluated in 260 parturients undergoing elective cerclage at 12-16 weeks' gestation. The TDR increased from 0.49 to 0.78, the PDR dropped from 0.35 to 0.18, and the LAR dropped from 0.16 to 0.04. The rate of early and late complications was acceptable, and the fetal survival rate was significantly improved. The fetal salvage rate increased from 0.73 to 0.92, establishing a fetal salvage ratio of 1.26. Based on this experience, cerclage placement in cases of incompetent cervical os may prolong the duration of pregnancy and improve the outcome.
Golan
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A
Department of Obstetrics and Gynecology "B," Serlin Maternity Hospital, Tel Aviv Sourasky Medical Center, Zerifin, Israel.
Wolman
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I
Arieli
S
S
Barnan
R
R
Sagi
J
J
David
M P
MP
D000022:Abortion, Spontaneous; D002584:Cervix Uteri / Q000601:surgery*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D011183:Postoperative Complications; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D016896:Treatment Outcome; D002581:Uterine Cervical Incompetence / Q000601:surgery*