cervical cerclage


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cervical cerclage

The use of ligatures around the cervix uteri to treat cervical incompetence during pregnancy. It is usually performed between 12–14 weeks before the cervix has begun to thin or dilate and is removed towards the end of pregnancy.
See: Shirodkar operation
See also: cerclage

Cervical cerclage

A procedure in which the cervix is sewn closed; used in cases when the cervix starts to dilate too early in a pregnancy to allow the birth of a healthy baby.
References in periodicals archive ?
Two had undergone an intervention to prevent SPB, cervical cerclage of which one resulted in SPB.
A patient-level meta-analysis published in 2011 demonstrated that cervical cerclage placement was associated with a significant reduction in preterm birth before 35 weeks' gestation in women with singleton gestations, previous spontaneous preterm birth, and cervical length less than 2.
The use of a cervical cerclage and Foley's balloon tamponade in preventing haemorrhage in cervical ectopic pregnancies has been reported in three cases.
In addition to preventing recurrent uterine inversion, one potential benefit to the placement of the abdominal cervical cerclage is possible prevention of future cervical incompetence related to the surgical division of the posterior cervical ring.
In singleton pregnancies in women with previous preterm births the rate of recurrence is reduced by about 25% either by the prophylactic administration of progesterone or by cervical cerclage.
Cervical cerclage involves the placement of sutures, wires, or synthetic tape to mechanically increase the tensile strength of the cervix.
Therefore, some obstetricians/gynecologists decide to perform cervical cerclage to prevent preterm delivery, but it was rejected due to the increasing chanc of infection that might trigger preterm delivery by itself (2).
Success rates after cervical cerclage are high, up to 87%.
However, cervical cerclage and induction of labor appeared to be risk factors for cervical laceration in these deliveries, wrote Dr.
It is important to realize that rupture of membranes after a cervical cerclage may be the result of a sub-clinical infectious process, rather than the consequence of cerclage placement.
Cerclage is indicated for cervical incompetence, which is defined by the need for a cervical cerclage," he said at a meeting on antepartum and intrapartum management sponsored by the University of California, San Francisco.
Four women were given cervical cerclage during pregnancy said Dr.