Transabdominal cerclage: the significance of dual pathology and increased preterm delivery

Transabdominal cerclage is a recognised treatment for cervical weakness with a history of recurrent mid‐trimester loss and a failed elective vaginal suture. The emergence of dual pathology, such as antiphospholipid syndrome and bacterial vaginosis, is associated with an increased risk of preterm del...

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Bibliographic Details
Published in:BJOG : an international journal of obstetrics and gynaecology 2005-10, Vol.112 (10), p.1424-1426
Main Authors: Farquharson, Roy G., Topping, Joanne, Quenby, Siobhan M.
Format: Article
Language:English
Subjects:
Abortion, Habitual - prevention & control
Adult
Biological and medical sciences
Cerclage, Cervical - adverse effects
Female
Gynecology. Andrology. Obstetrics
Humans
Medical sciences
Obstetric Labor, Premature - etiology
Pregnancy
Pregnancy Outcome
Pregnancy Trimester, Second
Uterine Cervical Diseases - surgery
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Summary:Transabdominal cerclage is a recognised treatment for cervical weakness with a history of recurrent mid‐trimester loss and a failed elective vaginal suture. The emergence of dual pathology, such as antiphospholipid syndrome and bacterial vaginosis, is associated with an increased risk of preterm delivery (RR 2.34, 95% CI 1.15–5.8). The first 40 cases are described where strict adherence to an investigation protocol and consistent treatment plan has been implemented.
ISSN:1470-0328
1471-0528
DOI:10.1111/j.1471-0528.2005.00680.x