Controversies in family planning: management of second-trimester losses in the setting of an abdominal cerclage.
For women who have a fetal demise with an abdominal cerclage in place, route of uterine evacuation is a clinical dilemma. We review a case of a second trimester loss in the setting of an abdominal cerclage in an HIV positive woman. We provide other clinician's experience and management strategies and provide a review of cases found in the literature.
Emory University, Department of Gynecology and Obstetrics, Atlanta, GA 30322, USA. amatlac@emory.edu
Angela
A
Martin
Eva
E
Lathrop
D000026:Abortion, Habitual / Q000503:physiopathology* / Q000601:surgery; D000022:Abortion, Spontaneous / Q000209:etiology / Q000517:prevention & control; D000328:Adult; D023802:Cerclage, Cervical / Q000009:adverse effects; D005193:Family Planning Services; D005260:Female; D005313:Fetal Death / Q000209:etiology / Q000601:surgery*; D006801:Humans; D020883:Hysterotomy; D059351:Organ Sparing Treatments; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D019114:Remote Consultation; D016896:Treatment Outcome; D014619:Vacuum Curettage; D000078329:Workforce