Emergent cervical cerclage: predictors of success or failure.
Emergent cervical cerclage is a procedure not commonly performed in general clinical practice. The outcome of pregnancies requiring emergent cerclage is based on limited information. The factors that predict success are not well known. Previous studies have suggested that advanced cervical dilation, significant cervical effacement, and the presence of prolapsed membranes are correlated with cerclage failure. We present a retrospective review of maternal characteristics predictive of perinatal survival. Analysis showed the presence of membrane prolapse to be the strongest predictor of poor outcome. Analysis also reveals a significant association between initial white blood cell count and perinatal outcome. This information may be helpful in decision making regarding adjunctive procedures such as amniocentesis and counseling patients regarding the likely outcome.
Latta
R A
RA
Abington Memorial Hospital, Abington Pennsylvania 19001, USA.
McKenna
B
B
D000328:Adult; D001799:Blood Sedimentation; D002584:Cervix Uteri / Q000601:surgery*; D005260:Female; D006801:Humans; D007958:Leukocyte Count; D007752:Obstetric Labor, Premature / Q000097:blood / Q000517:prevention & control*; D011237:Predictive Value of Tests; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies