title: Nitroglycerin facilitates therapeutic cerclage placement.
abstract: Therapeutic cerclage placement may be complicated by prolapsing of the fetal membranes. A gravida presented with incompetent cervix and prolapse of fetal membranes. The membranes were not reduced by Trendelenburg position, decompressive amniocentesis, and spinal anesthesia. Intravenous nitroglycerin promptly reduced the prolapse and allowed cerclage placement. This is the first report of intravenous nitroglycerin tocolysis used to facilitate cerclage placement.
authors.affiliation: Mary Birch Hospital for Women at Sharp Memorial, San Diego, CA 92123, USA.
authors.forename: L M
authors.initials: LM
authors.lastname: Cousins
authors.forename: A
authors.initials: A
authors.lastname: Pue
mesh_terms: D000328:Adult; D005321:Extraembryonic Membranes / Q000502:physiology*; D005260:Female; D006801:Humans; D007275:Injections, Intravenous; D005996:Nitroglycerin / Q000008:administration & dosage / Q000627:therapeutic use*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011261:Pregnancy Trimester, First; D002581:Uterine Cervical Incompetence / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery; D014665:Vasodilator Agents / Q000008:administration & dosage / Q000627:therapeutic use*
chemical_list: D014665:Vasodilator Agents; D005996:Nitroglycerin