Transabdominal cerclage: the significance of dual pathology and increased preterm delivery.
Transabdominal cerclage is a recognised treatment for cervical weakness with a history of recurrent mid-trimester loss and a failed elective vaginal suture. The emergence of dual pathology, such as antiphospholipid syndrome and bacterial vaginosis, is associated with an increased risk of preterm delivery (RR 2.34, 95% CI 1.15-5.8). The first 40 cases are described where strict adherence to an investigation protocol and consistent treatment plan has been implemented.
Farquharson
Roy G
RG
Miscarriage Clinic, Liverpool Women's Hospital, Liverpool, UK.
Topping
Joanne
J
Quenby
Siobhan M
SM
D000026:Abortion, Habitual / Q000517:prevention & control*; D000328:Adult; D023802:Cerclage, Cervical / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007752:Obstetric Labor, Premature / Q000209:etiology*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011262:Pregnancy Trimester, Second; D002577:Uterine Cervical Diseases / Q000601:surgery*