Evaluation of outcomes after transabdominal cervicoisthmic cerclage.
OBJECTIVE
To evaluate maternal and neonatal outcomes after transabdominal cerclage.


METHODS
Retrospective analysis of 15 patients receiving transabdominal cerclage. Using the patient's prior pregnancy as her own control, we assessed the effect of this procedure on gestational age and neonatal survival.


RESULTS
All patients had experienced a prior pregnancy loss. Twelve out of the 15 patients (80%) had at least one prior failed vaginal cerclage. The median gestational age at surgery was 14 (range 12-16) weeks. There was one case of surgical site infection. After cerclage, the proportion of women delivered beyond 32 weeks was significantly higher [11/15 (73.3%) vs. 1/15 (6.7%), P=0.0016], as was neonatal survival [12/15 (80%) vs. 1/15 (6.7%), P=0.0009].


CONCLUSIONS
While transabdominal cerclage is a major surgical procedure, subsequent pregnancy outcomes were improved.
Knudtson
Eric James
EJ
Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, The University of Oklahoma Health Sciences Center, PO Box 26901, WP 2470, Oklahoma City, OK 73126, USA. eric-knudtson@ouhsc.edu
Peck
Jennifer
J
Skaggs
Valerie
V
Elimian
Andrew
A
Goodman
Jean
J
Stanley
John
J
D000328:Adult; D023802:Cerclage, Cervical / Q000379:methods*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007813:Laparotomy; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D002581:Uterine Cervical Incompetence / Q000601:surgery*; D055815:Young Adult