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Cerclage no help in some multiple gestation cases. (Midtrimester Changes).
NEW ORLEANS -- Cerclage placement does not appear to improve perinatal outcome in patients with multiple gestation who show sonographic evidence of cervical changes at midtrimester, Dr. Orion Rust reported at the annual meeting of the Society for Maternal-Fetal Medicine.
A total of 24 patients with multiple gestations were randomly assigned to cerclage (10 patients) or no cerclage (14 patients) following admission at 16-24 weeks' gestation.
Sonographic changes included internal os dilation, prolapse of the amniotic membranes in the endocervical canal, shortening of the distal cervical length, and dynamic changes associated with transfundal pressure, said Dr. Rust of the division of maternal-fetal ...
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Source: HighBeam Research, Cerclage no help in some multiple gestation cases. (Midtrimester...