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Better pregnancy outcomes seen with elective cerclage.(Obstetrics)
WASHINGTON -- Patients who received emergent cerclage had higher rates of premature birth, spontaneous premature rupture of membranes, and chorioamnionitis, compared with those receiving elective cerclages, Chi P. Dola, M.D., reported in a poster presentation at the annual meeting of District VII of the American College of Obstetricians and Gynecologists.
Dr. Dola, of Tulane University, New Orleans, and her colleagues performed a retrospective chart review of data from 140 pregnant women who presented with an incompetent cervix.
The women were separated into three groups: 91 asymptomatic patients who received an elective cerclage based on a history suggestive of cervical incompetence; 29 asymptomatic patients who received an urgent cerclage after an ultrasound exam brought to light an abnormal finding, and 20 patients who received an emergent cerclage after presenting with typical symptoms of cervical incompetence.
The percentage of patients whose pregnancy lasted beyond 36 weeks ...
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Source: HighBeam Research, Better pregnancy outcomes seen with elective cerclage.(Obstetrics)