Emergent and elective cervical cerclage for cervical incompetence

M. Y. Wu, Y. S. Yang, S. C. Huang, T. Y. Lee, H. N. Ho

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Objective: The clinical outcomes of emergent and elective McDonald cerclage including cases of prolapsed amniotic sac were compared. Method: Forty-eight patients undergoing elective cervical cerclage suture and 21 patients receiving emergent cervical cerclage including eight cases of prolapsed fetal membranes in the vagina were retrospectively analyzed. Results: Prolongation of pregnancy (145 ± 27 vs. 58 ± 56 days, P < 0.001), delay of delivery (37.0 ± 3.1 vs. 28.3 ± 7.8 gestational weeks, P < 0.001), higher birth weight (3033 ± 751 vs. 1410 ± 1139 g, P = 0.001), better fetal salvage rate (98 vs. 52%, P < 0.05), and fewer lower Apgar scores (score < 7: 4/48 vs. 13/21 at 1 min, P = 0.000; 2/48 vs. 10/21 at 5 min, P = 0.000) were attained in the elective group compared with those in the emergent group. The clinical outcomes were not significantly different between those with and those without prolapsed fetal membranes, but this may have been due to the small sample size. Conclusion: In addition to elective cervical cerclage, we recommended this procedure in emergency cases even in those with a prolapsed amniotic sac.

Original languageEnglish
Pages (from-to)23-29
Number of pages7
JournalInternational Journal of Gynecology and Obstetrics
Volume54
Issue number1
DOIs
Publication statusPublished - Jan 1 1996

Fingerprint

Cervical Cerclage
Amniocentesis
Extraembryonic Membranes
Apgar Score
Vagina
Birth Weight
Sample Size
Sutures
Emergencies
Pregnancy

Keywords

  • Amniocentesis
  • Cervical incompetence
  • McDonald cerclage

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Emergent and elective cervical cerclage for cervical incompetence. / Wu, M. Y.; Yang, Y. S.; Huang, S. C.; Lee, T. Y.; Ho, H. N.

In: International Journal of Gynecology and Obstetrics, Vol. 54, No. 1, 01.01.1996, p. 23-29.

Research output: Contribution to journalArticle

Wu, M. Y. ; Yang, Y. S. ; Huang, S. C. ; Lee, T. Y. ; Ho, H. N. / Emergent and elective cervical cerclage for cervical incompetence. In: International Journal of Gynecology and Obstetrics. 1996 ; Vol. 54, No. 1. pp. 23-29.
@article{4101d116ae264b8fa39d3ca72c6b0d85,
title = "Emergent and elective cervical cerclage for cervical incompetence",
abstract = "Objective: The clinical outcomes of emergent and elective McDonald cerclage including cases of prolapsed amniotic sac were compared. Method: Forty-eight patients undergoing elective cervical cerclage suture and 21 patients receiving emergent cervical cerclage including eight cases of prolapsed fetal membranes in the vagina were retrospectively analyzed. Results: Prolongation of pregnancy (145 ± 27 vs. 58 ± 56 days, P < 0.001), delay of delivery (37.0 ± 3.1 vs. 28.3 ± 7.8 gestational weeks, P < 0.001), higher birth weight (3033 ± 751 vs. 1410 ± 1139 g, P = 0.001), better fetal salvage rate (98 vs. 52{\%}, P < 0.05), and fewer lower Apgar scores (score < 7: 4/48 vs. 13/21 at 1 min, P = 0.000; 2/48 vs. 10/21 at 5 min, P = 0.000) were attained in the elective group compared with those in the emergent group. The clinical outcomes were not significantly different between those with and those without prolapsed fetal membranes, but this may have been due to the small sample size. Conclusion: In addition to elective cervical cerclage, we recommended this procedure in emergency cases even in those with a prolapsed amniotic sac.",
keywords = "Amniocentesis, Cervical incompetence, McDonald cerclage",
author = "Wu, {M. Y.} and Yang, {Y. S.} and Huang, {S. C.} and Lee, {T. Y.} and Ho, {H. N.}",
year = "1996",
month = "1",
day = "1",
doi = "10.1016/0020-7292(96)02675-6",
language = "English",
volume = "54",
pages = "23--29",
journal = "International Journal of Gynecology and Obstetrics",
issn = "0020-7292",
publisher = "Elsevier Ireland Ltd",
number = "1",

}

TY - JOUR

T1 - Emergent and elective cervical cerclage for cervical incompetence

AU - Wu, M. Y.

AU - Yang, Y. S.

AU - Huang, S. C.

AU - Lee, T. Y.

AU - Ho, H. N.

PY - 1996/1/1

Y1 - 1996/1/1

N2 - Objective: The clinical outcomes of emergent and elective McDonald cerclage including cases of prolapsed amniotic sac were compared. Method: Forty-eight patients undergoing elective cervical cerclage suture and 21 patients receiving emergent cervical cerclage including eight cases of prolapsed fetal membranes in the vagina were retrospectively analyzed. Results: Prolongation of pregnancy (145 ± 27 vs. 58 ± 56 days, P < 0.001), delay of delivery (37.0 ± 3.1 vs. 28.3 ± 7.8 gestational weeks, P < 0.001), higher birth weight (3033 ± 751 vs. 1410 ± 1139 g, P = 0.001), better fetal salvage rate (98 vs. 52%, P < 0.05), and fewer lower Apgar scores (score < 7: 4/48 vs. 13/21 at 1 min, P = 0.000; 2/48 vs. 10/21 at 5 min, P = 0.000) were attained in the elective group compared with those in the emergent group. The clinical outcomes were not significantly different between those with and those without prolapsed fetal membranes, but this may have been due to the small sample size. Conclusion: In addition to elective cervical cerclage, we recommended this procedure in emergency cases even in those with a prolapsed amniotic sac.

AB - Objective: The clinical outcomes of emergent and elective McDonald cerclage including cases of prolapsed amniotic sac were compared. Method: Forty-eight patients undergoing elective cervical cerclage suture and 21 patients receiving emergent cervical cerclage including eight cases of prolapsed fetal membranes in the vagina were retrospectively analyzed. Results: Prolongation of pregnancy (145 ± 27 vs. 58 ± 56 days, P < 0.001), delay of delivery (37.0 ± 3.1 vs. 28.3 ± 7.8 gestational weeks, P < 0.001), higher birth weight (3033 ± 751 vs. 1410 ± 1139 g, P = 0.001), better fetal salvage rate (98 vs. 52%, P < 0.05), and fewer lower Apgar scores (score < 7: 4/48 vs. 13/21 at 1 min, P = 0.000; 2/48 vs. 10/21 at 5 min, P = 0.000) were attained in the elective group compared with those in the emergent group. The clinical outcomes were not significantly different between those with and those without prolapsed fetal membranes, but this may have been due to the small sample size. Conclusion: In addition to elective cervical cerclage, we recommended this procedure in emergency cases even in those with a prolapsed amniotic sac.

KW - Amniocentesis

KW - Cervical incompetence

KW - McDonald cerclage

UR - http://www.scopus.com/inward/record.url?scp=0030200319&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030200319&partnerID=8YFLogxK

U2 - 10.1016/0020-7292(96)02675-6

DO - 10.1016/0020-7292(96)02675-6

M3 - Article

VL - 54

SP - 23

EP - 29

JO - International Journal of Gynecology and Obstetrics

JF - International Journal of Gynecology and Obstetrics

SN - 0020-7292

IS - 1

ER -