Emergency cervical cerclage: A study between duration of cerclage in situ with gestation at cerclage, herniation of forewater, and cervical dilatation at presentation

Objective: To investigate the effectiveness of emergency cerclage in prolonging pregnancy and its effect on pregnancy outcome in patients with cervical incompetence. Study Design: Retrospective review of patients who had emergency cervical cerclage performed for cervical incompetence. 19 patients be...

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Published in:European journal of obstetrics & gynecology and reproductive biology 1998-05, Vol.78 (1), p.63-67
Main Authors: Yip, Shing-Kai, M. Fung, Hedy Y, Fung, Tak-Yuen
Format: Article
Language:English
Subjects:
Adult
Cervix Uteri - surgery
Cesarean Section
Emergency cervical cerclage
Emergency Treatment
Extraembryonic Membranes
Female
Gestation
Gestational Age
Hernia - etiology
Herniation of forewater
Humans
Labor Stage, First
Pregnancy
Pregnancy outcome
Retrospective Studies
Suture Techniques - adverse effects
Treatment Outcome
Uterine Cervical Incompetence - surgery
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cited_by cdi_FETCH-LOGICAL-c360t-535d06bd0d99c7655adb424e84d8273cba40cf9821e263879443427537a56cf73
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container_title European journal of obstetrics & gynecology and reproductive biology
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creator Yip, Shing-Kai
M. Fung, Hedy Y
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description Objective: To investigate the effectiveness of emergency cerclage in prolonging pregnancy and its effect on pregnancy outcome in patients with cervical incompetence. Study Design: Retrospective review of patients who had emergency cervical cerclage performed for cervical incompetence. 19 patients between 16 and 30 weeks' gestation with (1) cervical effacement, (2) cervical dilatation of at least 1 cm, (3) herniation of intact fetal membranes through the cervical os, (4) absence of established labor, and (5) absence of clinical evidence of infection were studied. The duration of cerclage in situ, gestation at delivery and birth weight were analyzed. Results: The mean duration of cerclage in situ was 47.5±48.6 days. The mean gestation at delivery was 30.5±6.6 weeks and the mean birth weight was 1730±1105 grams. The duration of cerclage in situ was significantly longer when the procedure was performed at or before 20 weeks' gestation (Mann–Whitney U test, P
doi_str_mv 10.1016/S0301-2115(98)00023-2
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Fung, Hedy Y ; Fung, Tak-Yuen</creator><creatorcontrib>Yip, Shing-Kai ; M. Fung, Hedy Y ; Fung, Tak-Yuen</creatorcontrib><description>Objective: To investigate the effectiveness of emergency cerclage in prolonging pregnancy and its effect on pregnancy outcome in patients with cervical incompetence. Study Design: Retrospective review of patients who had emergency cervical cerclage performed for cervical incompetence. 19 patients between 16 and 30 weeks' gestation with (1) cervical effacement, (2) cervical dilatation of at least 1 cm, (3) herniation of intact fetal membranes through the cervical os, (4) absence of established labor, and (5) absence of clinical evidence of infection were studied. The duration of cerclage in situ, gestation at delivery and birth weight were analyzed. Results: The mean duration of cerclage in situ was 47.5±48.6 days. The mean gestation at delivery was 30.5±6.6 weeks and the mean birth weight was 1730±1105 grams. The duration of cerclage in situ was significantly longer when the procedure was performed at or before 20 weeks' gestation (Mann–Whitney U test, P&lt;0.02), or when there had been no herniation of forewater (HFW) at the time of presentation (Mann–Whitney U test, P&lt;0.05). Conclusions: Gestation at cerclage and the presence of herniation of forewater (HFW) at presentation of cervical incompetence significantly affect the duration of emergency cerclage in situ.</description><identifier>ISSN: 0301-2115</identifier><identifier>EISSN: 1872-7654</identifier><identifier>DOI: 10.1016/S0301-2115(98)00023-2</identifier><identifier>PMID: 9605451</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Adult ; Cervix Uteri - surgery ; Cesarean Section ; Emergency cervical cerclage ; Emergency Treatment ; Extraembryonic Membranes ; Female ; Gestation ; Gestational Age ; Hernia - etiology ; Herniation of forewater ; Humans ; Labor Stage, First ; Pregnancy ; Pregnancy outcome ; Retrospective Studies ; Suture Techniques - adverse effects ; Treatment Outcome ; Uterine Cervical Incompetence - surgery</subject><ispartof>European journal of obstetrics &amp; gynecology and reproductive biology, 1998-05, Vol.78 (1), p.63-67</ispartof><rights>1998 Elsevier Science Ireland Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-535d06bd0d99c7655adb424e84d8273cba40cf9821e263879443427537a56cf73</citedby><cites>FETCH-LOGICAL-c360t-535d06bd0d99c7655adb424e84d8273cba40cf9821e263879443427537a56cf73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9605451$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yip, Shing-Kai</creatorcontrib><creatorcontrib>M. Fung, Hedy Y</creatorcontrib><creatorcontrib>Fung, Tak-Yuen</creatorcontrib><title>Emergency cervical cerclage: A study between duration of cerclage in situ with gestation at cerclage, herniation of forewater, and cervical dilatation at presentation</title><title>European journal of obstetrics &amp; gynecology and reproductive biology</title><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><description>Objective: To investigate the effectiveness of emergency cerclage in prolonging pregnancy and its effect on pregnancy outcome in patients with cervical incompetence. Study Design: Retrospective review of patients who had emergency cervical cerclage performed for cervical incompetence. 19 patients between 16 and 30 weeks' gestation with (1) cervical effacement, (2) cervical dilatation of at least 1 cm, (3) herniation of intact fetal membranes through the cervical os, (4) absence of established labor, and (5) absence of clinical evidence of infection were studied. The duration of cerclage in situ, gestation at delivery and birth weight were analyzed. Results: The mean duration of cerclage in situ was 47.5±48.6 days. The mean gestation at delivery was 30.5±6.6 weeks and the mean birth weight was 1730±1105 grams. The duration of cerclage in situ was significantly longer when the procedure was performed at or before 20 weeks' gestation (Mann–Whitney U test, P&lt;0.02), or when there had been no herniation of forewater (HFW) at the time of presentation (Mann–Whitney U test, P&lt;0.05). Conclusions: Gestation at cerclage and the presence of herniation of forewater (HFW) at presentation of cervical incompetence significantly affect the duration of emergency cerclage in situ.</description><subject>Adult</subject><subject>Cervix Uteri - surgery</subject><subject>Cesarean Section</subject><subject>Emergency cervical cerclage</subject><subject>Emergency Treatment</subject><subject>Extraembryonic Membranes</subject><subject>Female</subject><subject>Gestation</subject><subject>Gestational Age</subject><subject>Hernia - etiology</subject><subject>Herniation of forewater</subject><subject>Humans</subject><subject>Labor Stage, First</subject><subject>Pregnancy</subject><subject>Pregnancy outcome</subject><subject>Retrospective Studies</subject><subject>Suture Techniques - adverse effects</subject><subject>Treatment Outcome</subject><subject>Uterine Cervical Incompetence - surgery</subject><issn>0301-2115</issn><issn>1872-7654</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><recordid>eNqFkctu2zAQRYmigeOm_QQDXAUtYDV8SmI3gRHkUSBAFmnXBEWOHBay5JKUDf9Qv7NyZCjLrDjEnDsXMxehBSXfKaH51TPhhGaMUvlVld8IIYxn7AOa07JgWZFL8RHNJ-QcfYrxzwARztUMzVROpJB0jv7dbiCsobUHbCHsvDXNsbCNWcMPvMIx9e6AK0h7gBa7PpjkuxZ39URh3-LoU4_3Pr3gNcQ0IiZNyBK_QGj9JK27AHuTICyxad2bsfONeVNvA0Rox_9ndFabJsKX03uBft_d_rp5yB6f7n_erB4zy3OSMsmlI3nliFPKDjeQxlWCCSiFK1nBbWUEsbUqGQWW87JQQnDBCskLI3NbF_wCXY5zt6H72w-76I2PFprGtND1URdKEcq4GkA5gjZ0MQao9Tb4jQkHTYk-5qNf89HH42tV6td8NBt0i5NBX23ATapTIEP_euzDsOXOQ9DR-iEecD6ATdp1_h2H_5-Qog0</recordid><startdate>19980501</startdate><enddate>19980501</enddate><creator>Yip, Shing-Kai</creator><creator>M. Fung, Hedy Y</creator><creator>Fung, Tak-Yuen</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19980501</creationdate><title>Emergency cervical cerclage: A study between duration of cerclage in situ with gestation at cerclage, herniation of forewater, and cervical dilatation at presentation</title><author>Yip, Shing-Kai ; M. Fung, Hedy Y ; Fung, Tak-Yuen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-535d06bd0d99c7655adb424e84d8273cba40cf9821e263879443427537a56cf73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Cervix Uteri - surgery</topic><topic>Cesarean Section</topic><topic>Emergency cervical cerclage</topic><topic>Emergency Treatment</topic><topic>Extraembryonic Membranes</topic><topic>Female</topic><topic>Gestation</topic><topic>Gestational Age</topic><topic>Hernia - etiology</topic><topic>Herniation of forewater</topic><topic>Humans</topic><topic>Labor Stage, First</topic><topic>Pregnancy</topic><topic>Pregnancy outcome</topic><topic>Retrospective Studies</topic><topic>Suture Techniques - adverse effects</topic><topic>Treatment Outcome</topic><topic>Uterine Cervical Incompetence - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yip, Shing-Kai</creatorcontrib><creatorcontrib>M. Fung, Hedy Y</creatorcontrib><creatorcontrib>Fung, Tak-Yuen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of obstetrics &amp; gynecology and reproductive biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yip, Shing-Kai</au><au>M. Fung, Hedy Y</au><au>Fung, Tak-Yuen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Emergency cervical cerclage: A study between duration of cerclage in situ with gestation at cerclage, herniation of forewater, and cervical dilatation at presentation</atitle><jtitle>European journal of obstetrics &amp; gynecology and reproductive biology</jtitle><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><date>1998-05-01</date><risdate>1998</risdate><volume>78</volume><issue>1</issue><spage>63</spage><epage>67</epage><pages>63-67</pages><issn>0301-2115</issn><eissn>1872-7654</eissn><abstract>Objective: To investigate the effectiveness of emergency cerclage in prolonging pregnancy and its effect on pregnancy outcome in patients with cervical incompetence. Study Design: Retrospective review of patients who had emergency cervical cerclage performed for cervical incompetence. 19 patients between 16 and 30 weeks' gestation with (1) cervical effacement, (2) cervical dilatation of at least 1 cm, (3) herniation of intact fetal membranes through the cervical os, (4) absence of established labor, and (5) absence of clinical evidence of infection were studied. The duration of cerclage in situ, gestation at delivery and birth weight were analyzed. Results: The mean duration of cerclage in situ was 47.5±48.6 days. The mean gestation at delivery was 30.5±6.6 weeks and the mean birth weight was 1730±1105 grams. The duration of cerclage in situ was significantly longer when the procedure was performed at or before 20 weeks' gestation (Mann–Whitney U test, P&lt;0.02), or when there had been no herniation of forewater (HFW) at the time of presentation (Mann–Whitney U test, P&lt;0.05). Conclusions: Gestation at cerclage and the presence of herniation of forewater (HFW) at presentation of cervical incompetence significantly affect the duration of emergency cerclage in situ.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>9605451</pmid><doi>10.1016/S0301-2115(98)00023-2</doi><tpages>5</tpages></addata></record>
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subjects Adult
Cervix Uteri - surgery
Cesarean Section
Emergency cervical cerclage
Emergency Treatment
Extraembryonic Membranes
Female
Gestation
Gestational Age
Hernia - etiology
Herniation of forewater
Humans
Labor Stage, First
Pregnancy
Pregnancy outcome
Retrospective Studies
Suture Techniques - adverse effects
Treatment Outcome
Uterine Cervical Incompetence - surgery
title Emergency cervical cerclage: A study between duration of cerclage in situ with gestation at cerclage, herniation of forewater, and cervical dilatation at presentation
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