Preterm prelabour rupture of membranes with cervical cerclage: a review of perinatal outcomes with cerclage retention.
Cervical cerclage may be indicated in specific clinical situations in an attempt to reduce the risk of preterm delivery. Preterm prelabour rupture of membranes (PPROM) occurs sometimes in the presence of a cerclage, and these pregnancies are at substantial risk of adverse maternal, fetal, and neonatal outcomes that may be attributed to complications associated with infectious morbidity and preterm birth. The benefits of retaining a cerclage in situ with ruptured membranes are unclear. This systematic review identified studies estimating maternal and perinatal morbidity and mortality associated with pregnancies with cerclage complicated by PPROM, in order to clarify the consequences of cerclage retention.
Walsh
Jennifer
J
Department of Obstetrics and Gynaecology, Dalhousie University, Halifax NS.
Allen
Victoria M
VM
Department of Obstetrics and Gynaecology, Dalhousie University, Halifax NS.
Colford
Donald
D
Department of Obstetrics and Gynaecology, Dalhousie University, Halifax NS.
Allen
Alexander C
AC
Department of Obstetrics and Gynaecology, Dalhousie University, Halifax NS; Perinatal Epidemiology Research Unit, IWK and Dalhousie University, Halifax NS; Department of Pediatrics, Dalhousie University, Halifax NS.
D023802:Cerclage, Cervical; D005260:Female; D005322:Premature Rupture of Fetal Membranes; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome