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.
In general, placement of a cervical cerclage is not offered past the point of fetal viability, which is generally in the range of 23 to 25 weeks' gestation, depending on local institutional and neonatal intensive care unit policies.
Surgical intervention by cervical cerclage is the mainstay for treatment of cervical incompetence, using the MacDonald's and Shirodkar methods (7).
Objective: To study the efficacy of cervical cerclage using McDonald's technique in prevention of preterm deliveries.
Cervical incompetence or short cervix is a risk factor for the condition and cervical cerclage is the management option for such cases.
6) Even though transvaginal ultrasound assessment of the cervix during pregnancy has been found to be useful in predicting preterm birth in some cases of suspected cervical weakness, (3) treatment of cervical incompetence with cervical cerclage may not actually result in improved perinatal survival.
Improving the outcome of cervical cerclage by sonographic follow-up.
Results of the randomized, controlled CIRCLE (Assessment of Cervical Cerclage for the Prevention of Preterm Labour) trial do not suggest any benefit in replacing historical indications for suture placement with ultrasound surveillance, Dr.
A 30-year-old, 167 cm, 57 kg woman with a twin pregnancy at the 23rd week of gestation was scheduled for cervical cerclage.
Specimens were excluded if collected from women who had chemically induced labor or elective caesarian section within 2 weeks of fFN collection, multiple gestation, cervical dilation [less than or equal to] 3 cm, ruptured membranes, cervical cerclage, moderate or gross vaginal bleeding, placenta previa, or sexual intercourse within 24 h.
The investigators excluded 246 of 740 women who had a positive screening test because of various reasons, including symptomatic bacterial vaginosis; age <16 years; multiple gestations; had or needed cervical cerclage or cone biopsy; demonstration of a cervical, uterine, or fetal anomaly; diabetes mellitus, hypertension, or collagen vascular disease.