title: Transvaginal cervicoisthmic cerclage using a polypropylene sling: pregnancy outcome.
abstract: OBJECTIVE
  To report pregnancy outcome following prophylactic transvaginal cervicoisthmic cerclage using a polypropylene sling in a population of high-risk pregnant women.
  
  
  METHODS
  A retrospective study with a continuous series of 57 women presenting with prior failure of McDonald cerclage (n = 47) and/or absent portio-vaginalis of the cervix (n = 10).
  
  
  RESULTS
  Cervicoisthmic cerclage was performed between 12 and 16 weeks of gestation (median 14 weeks' gestation). No intraoperative complication occurred. Preterm labor treated with parenteral tocolysis occurred in 14 women (24%). Cesarean delivery was systematically performed. Median gestational age at delivery was 37.2 weeks' gestation (interquartile range: 36.5-38.0). Overall neonatal survival rate was 94%.
  
  
  CONCLUSIONS
  Transvaginal cervicoisthmic cerclage using a polypropylene sling may be considered as an effective alternative to the transabdominal cervicoisthmic cerclage in women presenting with previous cerclage failure.
authors.affiliation: AP-HP, Department of Obstetrics, Gynecology and Reproductive Medicine, Antoine Béclère Hospital, Clamart, France. xavier.deffieux@abc.aphp.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: Amélie
authors.initials: A
authors.lastname: Gervaise
authors.forename: Hervé
authors.initials: H
authors.lastname: Fernandez
mesh_terms: D000328:Adult; D023802:Cerclage, Cervical / Q000379:methods*; D002584:Cervix Uteri / Q000601:surgery*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007752:Obstetric Labor, Premature / Q000517:prevention & control*; D011247:Pregnancy; D011256:Pregnancy Outcome; D047928:Premature Birth / Q000517:prevention & control*; D012189:Retrospective Studies; D015145:Tocolysis / Q000379:methods*; D002581:Uterine Cervical Incompetence / Q000601:surgery*