Reversal of asymptomatic cervical length shortening with cervical cerclage: a preliminary study.
This is a prospective observational study which highlights the value of serial transvaginal cervical length measurements to identify asymptomatic cervical length shortening and the effect on cervical length following insertion of a McDonald cerclage. Four out of 14 patients exhibited asymptomatic cervical length shortening. Only patients whose cervical length was <2 cm underwent cerclage. All patients showed an increase in cervical length post-cerclage. The possible mechanisms responsible for these changes are discussed.
O'Connell
M P
MP
Academic Department of Obstetrics & Gynaecology, University of Hull, Hull Maternity Hospital, Hull, UK.
Lindow
S W
SW
D002584:Cervix Uteri / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D007752:Obstetric Labor, Premature / Q000209:etiology / Q000473:pathology / Q000517:prevention & control*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011262:Pregnancy Trimester, Second; D011446:Prospective Studies; D012307:Risk Factors; D013536:Suture Techniques; D014463:Ultrasonography