American Journal of Obstetrics & Gynecology
Volume 200, Issue 5 , Pages e12-e15 , May 2009

Is cerclage height associated with the incidence of preterm birth in women with an ultrasound-indicated cerclage?

Presented at the 28th Annual Meeting of the Society for Maternal-Fetal Medicine, Dallas TX, Feb. 2, 2009.

  • Stacey Scheib, MD

      Affiliations

    • Division or Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Thomas Jefferson University, Philadelphia, PA
    • ,
  • John F. Visintine, MD

      Affiliations

    • Division or Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Thomas Jefferson University, Philadelphia, PA
    • ,
  • Gennady Miroshnichenko, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Lankenau Hospital, Wynnewood, PA
    • ,
  • Christopher Harvey, MD

      Affiliations

    • Division or Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Thomas Jefferson University, Philadelphia, PA
    • ,
  • Keith Rychlak, RD, MS

      Affiliations

    • Division or Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Thomas Jefferson University, Philadelphia, PA
    • ,
  • Vincenzo Berghella, MD

      Affiliations

    • Division or Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Thomas Jefferson University, Philadelphia, PA

Received 23 June 2008 ,Revised 10 September 2008 ,Accepted 17 September 2008.

References 

  1. Iams JD, Goldenberg RL, Meis PJ, et al. The length of the cervix and the risk of spontaneous premature delivery (National Institute of Child Health and Human Development Maternal Fetal Medicine Unit Network). N Engl J Med. 1996;334:567–572
  2. Berghella V, Odibo AO, Tolosa JE. Cerclage for prevention of preterm birth in women with a short cervix found on transvaginal ultrasound examination: a randomized trial. Am J Obstet Gynecol. 2004;191:1311–1317
  3. Althuisius SM, Dekker GA, Hummel P, Bekedam DJ, van Geijn HP. Final results of the Cervical Incompetence Prevention Randomized Cerclage Trial (CIPRACT): therapeutic cerclage with bed rest versus bed rest alone. Am J Obstet Gynecol. 2001;185:1106–1112
  4. To MS, Alfirevic Z, Heath VC, et al. Cervical cerclage for prevention of preterm delivery in women with short cervix: randomised controlled trial. Lancet. 2004;363:1849–1853
  5. Rust OA, Atlas RO, Reed J, van Gaalen J, Balducci J. Revisiting the short cervix detected by transvaginal ultrasound in the second trimester: why cerclage therapy may not help. Am J Obstet Gynecol. 2001;185:1098–1105
  6. Berghella V, Odibo AO, To MS, Rust OA, Althuisius SM. Cerclage for short cervix on ultrasonography: meta-analysis of trials using individual patient-level data. Obstet Gynecol. 2005;106:181–189
  7. Quinn MJ. Vaginal ultrasound and cervical cerclage: a prospective study. Ultrasound Obstet Gynecol. 1992;2:410–416
  8. Andersen HF, Karimi A, Sakala EP, Kalugdan R. Prediction of cervical cerclage outcome by endovaginal ultrasonography. Am J Obstet Gynecol. 1994;171:1102–1106
  9. Guzman ER, Houlihan C, Vintzileos A, Ivan J, Benito C, Kappy K. The significance of transvaginal ultrasonographic evaluation of the cervix in women treated with emergency cerclage. Am J Obstet Gynecol. 1996;175:471–476
  10. Rust OA, Atlas RO, Meyn J, Wells M, Kimmel S. Does cerclage location influence perinatal outcome?. Am J Obstet Gynecol. 2003;189:1688–1691
  11. McDonald IA. Suture of the cervix for inevitable miscarriage. J Obstet Gynaecol Br Emp. 1957;64:346–350
  12. Davis G, Berghella V, Talucci M, Wapner RJ. Patients with a prior failed transvaginal cerclage: a comparison of obstetric outcomes with either transabdominal or transvaginal cerclage. Am J Obstet Gynecol. 2000;183:836–839
  13. O'Brien JM, Hill AL, Barton JR. Funneling to the stitch: an informative ultrasonographic finding after cervical cerclage. Ultrasound Obstet Gynecol. 2002;20:252–255

 Reprints not available from the authors.

PII: S0002-9378(08)01076-4

doi: 10.1016/j.ajog.2008.09.021

American Journal of Obstetrics & Gynecology
Volume 200, Issue 5 , Pages e12-e15 , May 2009

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