title: Fertility outcome following transvaginal cervicoisthmic cerclage using a polypropylene sling.
abstract: OBJECTIVE
  To report fertility and pregnancy outcomes following transvaginal cervicoisthmic cerclage with a polypropylene sling during a previous pregnancy.
  
  
  METHODS
  A continuous series of 57 women who underwent prophylactic cervicoisthmic cerclage during a previous (reference) pregnancy were enrolled. Telephone interviews were carried out to evaluate each patient's subsequent fertility.
  
  
  RESULTS
  Among the 57 women interviewed, 8 had an inadequate follow-up, 13 women were lost to follow-up, 1 woman required a hemostatic hysterectomy, and 2 women required removal of the sling. Nineteen women did not desire a subsequent pregnancy. Of the 14 women who did desire a subsequent pregnancy, 1 woman had previously known tubal infertility. Of the 13 remaining women, 7 subsequently became pregnant. One woman had a spontaneous abortion (11 weeks of pregnancy); 1 woman delivered at 22 weeks of pregnancy, after a spontaneous premature membrane rupture; 1 woman had a cesarean delivery at 25 weeks of pregnancy; and 4 patients had a cesarean delivery after 37 weeks of pregnancy. Median duration of the 4 subsequent pregnancies at delivery was 37 weeks (interquartile range [IQR], 37-38 weeks). Median birth weight was 3040 g (IQR, 2500-3250 g).
  
  
  CONCLUSIONS
  Subsequent pregnancy is possible after transvaginal cervicoisthmic cerclage using a synthetic sling.
authors.affiliation: Université Paris-Sud, Faculté de Médecine, Le Kremlin Bicêtre, France. xavier.deffieux@abc.ap-hop-paris.fr
authors.forename: Xavier
authors.initials: X
authors.lastname: Deffieux
authors.forename: Erika
authors.initials: E
authors.lastname: Faivre
authors.forename: Marie Victoire
authors.initials: MV
authors.lastname: Senat
authors.forename: Florent
authors.initials: F
authors.lastname: Fuchs
authors.forename: Amélie
authors.initials: A
authors.lastname: Gervaise
authors.forename: Hervé
authors.initials: H
authors.lastname: Fernandez
mesh_terms: D000328:Adult; D023802:Cerclage, Cervical; D005260:Female; D005298:Fertility; D006801:Humans; D011126:Polypropylenes; D011247:Pregnancy; D011256:Pregnancy Outcome
chemical_list: D011126:Polypropylenes