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Once a cerclage, not always a cerclage
M D Fejgin1, B Gabai, S Goldberger
1Department of Obstetrics and Gynecology, Meir Hospital, Tel-Aviv University Medical School, Kfar-Saba, Israel.
The Journal of Reproductive Medicine
|November 1, 1994
Summary
For women with uncertain reasons for a previous cervical cerclage, forgoing a repeat procedure is safe. Pregnancies without a repeat cerclage showed fewer complications and better outcomes.
Area of Science:
- Maternal-Fetal Medicine
- Obstetrics
- Reproductive Medicine
Background:
- Cervical cerclage is used to prevent preterm birth.
- The decision to repeat cerclage can be challenging with doubtful indications.
Purpose of the Study:
- To evaluate pregnancy outcomes when repeat cervical cerclage is omitted in women with questionable prior indications.
- To compare outcomes of pregnancies with and without repeat cerclage.
Main Methods:
- Prospective follow-up of 35 women with prior McDonald cerclage.
- Comparison of pregnancy complications and outcomes between pregnancies with and without repeat cerclage.
- Analysis of 58 pregnancies with cerclage and 52 without.
Main Results:
- Pregnancies without repeat cerclage had significantly fewer complications (P < .05).
- These pregnancies were longer and resulted in larger infant deliveries (P < .05).
- All 52 pregnancies without cerclage had favorable outcomes, versus nine perinatal losses in 58 with cerclage (P < .05).
Conclusions:
- Omitting repeat cervical cerclage in cases of doubtful indication is a safe practice.
- This approach can lead to improved pregnancy outcomes and reduced perinatal loss.