Efficacy of transvaginal cervical cerclage in women at risk of preterm birth following previous emergency cesarean section
Introduction Emergency cesarean sections (EMCS) are associated with subsequent preterm birth, particularly at full dilation (FDCS), which is a cause of both second trimester miscarriages and early, recurrent spontaneous preterm birth (sPTB). The optimal management for these women in subsequent pregn...
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Veröffentlicht in: | Acta obstetricia et gynecologica Scandinavica 2020-11, Vol.99 (11), p.1486-1491 |
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Sprache: | eng |
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Zusammenfassung: | Introduction
Emergency cesarean sections (EMCS) are associated with subsequent preterm birth, particularly at full dilation (FDCS), which is a cause of both second trimester miscarriages and early, recurrent spontaneous preterm birth (sPTB). The optimal management for these women in subsequent pregnancies is currently unknown. This study aims to assess efficacy of transvaginal cervical cerclage (TVC) in prevention of preterm birth among women who have had an EMCS followed by a subsequent late miscarriage or sPTB.
Material and methods
A historical cohort study was performed assessing outcomes of women attending the Preterm Surveillance Clinic at St Thomas’ Hospital, London, who received TVC, with a history of EMCS (pregnancy A) followed by a sPTB/late miscarriage (pregnancy B) and a subsequent pregnancy (pregnancy C). A historical reference group managed in the same clinic was identified comprising women with any risk factor for sPTB, who required TVC. Incidence of delivery >24 to |
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ISSN: | 0001-6349 1600-0412 |
DOI: | 10.1111/aogs.13972 |