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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2001, Number 3

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An Med Asoc Med Hosp ABC 2001; 46 (3)

Emergency cerclage. Procedures at the ABC Hospital

Alfaro AJ, García-León F

Language: Spanish
References: 26
Page: 113-117
PDF size: 56.40 Kb.


ABSTRACT

Objective: To evaluate the success of emergency cerclage procedures and neonatal outcome at the ABC Hospital. Material and methods: A retrospective analysis between January 1, 1997 and December 31, 2000 was done. Gestational age at the time of the procedure was recorded, as well as the prolongation of pregnancy, maternal complications and neonatal outcome. Results: Seven patients were included with dilatation of the internal cervical os of 3 cm or more and membranes protruding to the vagina in all cases. Patients with uterine activity, a cerclage procedure in a previous pregnancy, and corioamnioitis were excluded. The average gestational age for the procedure was 23 weeks. The average prolongation of pregnancy was 6.6 weeks; with a 71.4% of live newborns recorded. Conclusions: The emergency cerclage procedure continues to be a heroic attempt in maintaining the pregnancy. By the results published in the literature, it can be stated that the prolongation pregnancy is highly variable with neonatal survival rate between 12-73%.


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