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Benefits of emergency cerclage unclear; tell patients of risks. (Expert Opinion).
WASHINGTON--There are no empiric data showing a clear benefit to emergency cerclage, and it should be performed only after extensive patient counseling about its inherent risks, Dr. Errol Norwitz said at the Third World Congress on Controversies in Obstetrics, Cynecology, and Infertility.
"The data are extremely limited, and as of yet there have been no randomized clinical trials on the benefit of emergency cerclage," said Dr. Norwitz of Brigham and Women's Hospital, Boston.
Yet there may never be any such studies because some researchers say it would deprive patients of standard therapy," he said. Meanwhile, "others argue that it is unethical for us to continue to pretend that emergency cerclage has ever been proved beneficial in a rigorous, scientific fashion."
Nevertheless, since cervical incompetence is responsible for up to 15% of habitual immature deliveries of between 16 and 28 weeks' gestation, emergency cerclage will continue despite its associated risks. Short-term complications include premature rupture of membranes, blood loss requiring transfusion, and anesthetic complications. Long-term complications of the procedure include a 3%-4% chance of cervical laceration, a 4% chance of ...
- Partial-birth Abortion Ban.(Letters)(Letter to the Editor)
- Magazine article from: OB GYN News Wechter, Daniel J. June 1, 2004 700+ words
...Partial-Birth Abortion Ban," Dec. 1, 2003, p. 1). How ludicrous is it to have an obstetrician placing an emergency cerclage to save the life of a fetus in one room while another obstetrician in the next room is intentionally taking the...
- Emotion without knowledge.(Letters)(Letter to the Editor)
- Magazine article from: OB GYN News Novoa, Julio C. July 15, 2004 700+ words
...for. He continues in his imaginary complaint, saying that it is ludicrous to have an obstetrician placing an emergency cerclage in one room while in the next room another physician is taking the life of a fetus. He is missing the point...
- 'Sense of impending doom' may signal AFE. (Warning Sign).
- Magazine article from: OB GYN News Goldman, Erik L. May 15, 2003 700+ words
...to save a woman in cardiac arrest. Fetal survival is directly correlated with the speed...cardiovascular symptoms is 27 minutes, and the fetal survival rate is 80%. The U.S. registry...time window of 20-25 minutes. The fetal survival rate drops to 25% if the interval...
- Diaphragmatic hernia surgery offers 50% survival: tracheal obstruction done in...
- Magazine article from: OB GYN News Worcester, Sharon August 15, 2003 700+ words
...study using the latest techniques, surgeons achieved a 50% fetal survival rate with in utero surgery. That may sound rather dismal...a fetal tracheal occlusion Surgeons have achieved a 50% fetal survival rate with in utero surgery for diaphragmatic hernia. In...
- Scientists at University of Adelaide publish new data on reproduction.(Report)
- Newspaper article from: Life Science Weekly June 30, 2009 700+ words
...Adelaide. The researchers concluded: "Inhibition of SMAD2/3 signaling in the presence of FSH/EGF significantly reduced fetal survival but had no effect on implantation or fetal and placental dimensions and morphology." Yeo and colleagues published their...
- 'Abortion pill': new data, new markets.
- Magazine article from: Science News Weiss, R. February 17, 1990 700+ words
...symposium on "New Birth Control in the 1990s." The pill blocks the action of progesterone, a sex hormone required for fetal survival. Women must return to their doctor 48 hours after taking the pill for a follow-up dose of prostaglandin, which triggers...
- Studies from RIKEN add new findings in the area of life sciences.
- Magazine article from: Women's Health Weekly June 4, 2009 700+ words
...enabled us to produce complete heterozygous F1 embryos by injecting two spermatids from different strains. The best rate of fetal survival (12% per embryos transferred) was obtained with C57BL/6 x DBA/2 androgenetic embryos. We also generated embryonic...
- Fetal repair: safe for mom, chancy for child. (surgery)
- Magazine article from: Science News Fackelmann, Kathy A. February 16, 1991 700+ words
...which, if left untreated, were likely to kill the infants soon after birth. The procedure, while offering hope for fetal survival, remains tricky. In three cases, the team couldn't repair the fetal defect and performed abortions in accordance with...