title: Evaluation of outcomes after transabdominal cervicoisthmic cerclage.
abstract: 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.
authors: 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
authors: Eric James
authors: EJ
authors: Knudtson
authors: Jennifer
authors: J
authors: Peck
authors: Valerie
authors: V
authors: Skaggs
authors: Andrew
authors: A
authors: Elimian
authors: Jean
authors: J
authors: Goodman
authors: John
authors: J
authors: Stanley
mesh_terms: 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