title: Repeat cerclage prolongs pregnancy in women with prolapsed membranes.
abstract: We evaluated repeat cerclage in women with prolapsed membranes. Twenty-two women with bulging membranes after primary cerclage were offered repeat cerclage; 11 chose a repeat cerclage and 11 chose bed rest. The median gestational age at delivery, birthweight and survival rates were significantly higher in the repeat cerclage group compared to the bed rest group (mean 26.8 weeks vs. 21.7 weeks, p= 0.04, mean birthweight 1180 g vs. 491 g, p= 0.01 odds ratio for survival 22.0, 95% CI, 2.1-236). Early repeat cerclage under antibiotic cover may be beneficial in women with bulging membranes after a prior failing cerclage attempt.
authors.affiliation: Department of Obstetrics and Gynecology, Hallym University, Kangnam Sacred Heart Hospital, Seoul, Korea.
authors.forename: Ji-Eun
authors.initials: JE
authors.lastname: Song
authors.forename: Keun-Young
authors.initials: KY
authors.lastname: Lee
authors.forename: Hyun-Ah
authors.initials: HA
authors.lastname: Jun
mesh_terms: D000328:Adult; D023802:Cerclage, Cervical; D015331:Cohort Studies; D005260:Female; D005865:Gestational Age; D006801:Humans; D011247:Pregnancy; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome; D002581:Uterine Cervical Incompetence / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*