title: [Management of women with a previous late fetal loss (14 to 22weeks of gestation)].
abstract: OBJECTIVE
  To provide guidelines concerning management after a late fetal pregnancy loss: etiological assessment, follow-up and therapeutic management for subsequent pregnancy.
  
  
  METHODS
  French and English publications led to guidelines.
  
  
  RESULTS
  In case of a previous late fetal loss, exploration of cavity has to be done (grade C), except hysterosalpingography, which is not recommended (grade A). If uterine anomalies are found, it is recommended to correct them (grade C). In case of stillbirth or unknown foetal vitality before expulsion, antiphospholipid syndrome has to be looked for (grade A). In pregnant women, measurement of cervical length has to be done between 15 and 24weeks of gestation (grade B); in case of singleton pregnancy and short cervix (less than 25mm), a Mc Donald cerclage has to be done (grade A). A cerclage is also recommended in case of three previous fetal loss (grade B). In case of failure of a previous Mc Donald cerclage, a cervico-isthmic cerclage is recommended (grade C).
  
  
  CONCLUSIONS
  In case of a previous fetal loss, uterine cavity has to be explored. In subsequent pregnancy, cervical length has to be evaluated between 15 and 24SA to indicate a cervical cerclage.
authors.affiliation: Service de gynécologie-obstétrique, hôpital Bicêtre, GHU Sud, AP-HP, 78, rue du Général-Leclerc, 94276 Le Kremlin-Bicêtre, France; Inserm, centre de recherche en épidémiologie et santé des populations (CESP), U1018, 94276 Le Kremlin-Bicêtre, France; Faculté de médecine, université Paris Sud, 63, rue Gabriel-Péri, 94270 Le Kremlin-Bicêtre, France. Electronic address: perrine.capmas@bct.aphp.fr.
authors.forename: P
authors.initials: P
authors.lastname: Capmas
authors.affiliation: Service de gynécologie-obstétrique, hôpital Bicêtre, GHU Sud, AP-HP, 78, rue du Général-Leclerc, 94276 Le Kremlin-Bicêtre, France.
authors.forename: E
authors.initials: E
authors.lastname: Thellier
authors.affiliation: Service de gynécologie-obstétrique, hôpital Nord, Assistance publique des hôpitaux de Marseille (AP-HM), chemin des Bourrely, 13915, Marseille cedex 20, France; Faculté de médecine, université d'Aix-Marseille université (AMU), 27, boulevard Jean-Moulin, 13385 Marseille cedex 05, France.
authors.forename: X
authors.initials: X
authors.lastname: Carcopino
authors.affiliation: Service de gynécologie-obstétrique, CHI Poissy-St-Germain, 10, rue du Champ-Gaillard, 78300 Poissy, France; EA 7285 risques cliniques et sécurité en santé des femmes, université Versailles-Saint-Quentin-en-Yvelines, 78000 Versailles, France.
authors.forename: C
authors.initials: C
authors.lastname: Huchon
authors.affiliation: Service de gynécologie-obstétrique, hôpital Antoine-Béclère, GHU Sud, AP-HP, 157, rue de la Porte-de-Trivaux, 92140 Clamart, France.
authors.forename: X
authors.initials: X
authors.lastname: Deffieux
authors.affiliation: Service de gynécologie-obstétrique, hôpital Bicêtre, GHU Sud, AP-HP, 78, rue du Général-Leclerc, 94276 Le Kremlin-Bicêtre, France; Inserm, centre de recherche en épidémiologie et santé des populations (CESP), U1018, 94276 Le Kremlin-Bicêtre, France; Faculté de médecine, université Paris Sud, 63, rue Gabriel-Péri, 94270 Le Kremlin-Bicêtre, France.
authors.forename: H
authors.initials: H
authors.lastname: Fernandez
mesh_terms: D000022:Abortion, Spontaneous / Q000517:prevention & control*; D023802:Cerclage, Cervical / Q000379:methods*; D002584:Cervix Uteri / Q000000981:diagnostic imaging*; D005260:Female; D005313:Fetal Death / Q000517:prevention & control*; D006801:Humans; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011262:Pregnancy Trimester, Second
keywords: Cerclage; Cerclage cervico-isthmique; Cervical length; Cervico-isthmic cerclage; Fausse couche tardive; Guidelines; Late pregnancy loss; Malformation utérine; Pessaire; Progesterone; Progestérone; Recommandations; Uterine malformation; Échographie cervicale