Abdominal versus vaginal cerclage after a failed transvaginal cerclage: A systematic review

Objective: The purpose of this study was to compare the outcomes of pregnancy after transabdominal cerclage versus after transvaginal cerclage in patients with a failed transvaginal cerclage during a previous pregnancy. Study Design: MEDLINE and EMBASE were searched in English. We included studies t...

Full description

Saved in:
Bibliographic Details
Published in:American journal of obstetrics and gynecology 2002-10, Vol.187 (4), p.868-872
Main Authors: Zaveri, Veena, Aghajafari, Fariba, Amankwah, Kofi, Hannah, Mary
Format: Article
Language:English
Subjects:
Abdomen
Biological and medical sciences
Cerclage, Cervical - methods
Cervical incompetence
Diseases of mother, fetus and pregnancy
Female
Gynecology. Andrology. Obstetrics
Humans
Infant Mortality
Infant, Newborn
Likelihood Functions
Medical sciences
Pregnancy
Pregnancy Outcome
Pregnancy. Fetus. Placenta
Retreatment
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
systematic review
transabdominal cerclage
transvaginal cerclage
Treatment Failure
Vagina
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective: The purpose of this study was to compare the outcomes of pregnancy after transabdominal cerclage versus after transvaginal cerclage in patients with a failed transvaginal cerclage during a previous pregnancy. Study Design: MEDLINE and EMBASE were searched in English. We included studies that reported perinatal and/or maternal outcomes in women who had a transabdominal cerclage or a transvaginal cerclage placed at or before 20 weeks of gestation, after having had a failed nonemergent transvaginal cerclage in a previous pregnancy. Data were included for individual patients if they met the inclusion criteria, and their outcomes were reported separately. We excluded patients with cervical amputation because transvaginal cerclage is not an option for these women because of technical difficulty. Results: Fourteen studies met the inclusion criteria. Thirteen of the studies were case series (12 retrospective and 1 prospective), and one study was a retrospective cohort study. In total, 157 women in the studies had a failed vaginal cerclage in a previous pregnancy; 117 women had a subsequent transabdominal cerclage; 40 women had a subsequent transvaginal cerclage. The likelihood of perinatal death or delivery at
ISSN:0002-9378
1097-6868
DOI:10.1067/mob.2002.126959