Cervical Incompetence: Diagnosis and Outcome
The results of 147 cervical cerclage procedures were reviewed in a retrospective study. Patient history and past reproductive performance were assessed to determine which factors were predictive of successful pregnancy outcome after cervical cerclage. A past history of spontaneous second trimester a...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 1984-08, Vol.64 (2), p.159-163 |
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| container_title | Obstetrics and gynecology (New York. 1953) |
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| creator | BARFORD, DONALD A. G ROSEN, MORTIMER G |
| description | The results of 147 cervical cerclage procedures were reviewed in a retrospective study. Patient history and past reproductive performance were assessed to determine which factors were predictive of successful pregnancy outcome after cervical cerclage. A past history of spontaneous second trimester abortion or premature labor was associated with a better outcome than was a history classically associated with cervical incompetence. Morbidity immediately following the procedure was low, however significant morbidity related to cervical scarring occurred at the time of delivery. There was poor correlation between the clinical history, examination and adjunctive tests of cervical incompetence, and the pregnancy outcome following cerclage. These observations indicate the need for a prospective, randomized study of the efficacy of this procedure. |
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G ; ROSEN, MORTIMER G</creator><creatorcontrib>BARFORD, DONALD A. G ; ROSEN, MORTIMER G</creatorcontrib><description>The results of 147 cervical cerclage procedures were reviewed in a retrospective study. Patient history and past reproductive performance were assessed to determine which factors were predictive of successful pregnancy outcome after cervical cerclage. A past history of spontaneous second trimester abortion or premature labor was associated with a better outcome than was a history classically associated with cervical incompetence. Morbidity immediately following the procedure was low, however significant morbidity related to cervical scarring occurred at the time of delivery. There was poor correlation between the clinical history, examination and adjunctive tests of cervical incompetence, and the pregnancy outcome following cerclage. These observations indicate the need for a prospective, randomized study of the efficacy of this procedure.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>PMID: 6377148</identifier><identifier>CODEN: OBGNAS</identifier><language>eng</language><publisher>New York, NY: The American College of Obstetricians and Gynecologists</publisher><subject>Abortion, Spontaneous - complications ; Analysis of Variance ; Biological and medical sciences ; Cervix Uteri - injuries ; Cervix Uteri - surgery ; Delivery, Obstetric ; Diseases of mother, fetus and pregnancy ; Female ; Fetal Membranes, Premature Rupture - complications ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Medical sciences ; Obstetric Labor, Premature - complications ; Pregnancy ; Pregnancy Trimester, Second ; Pregnancy. Fetus. Placenta ; Retrospective Studies ; Suture Techniques ; Time Factors ; Uterine Cervical Incompetence - diagnosis ; Uterine Cervical Incompetence - surgery</subject><ispartof>Obstetrics and gynecology (New York. 1953), 1984-08, Vol.64 (2), p.159-163</ispartof><rights>1984 The American College of Obstetricians and Gynecologists</rights><rights>1985 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=9026061$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6377148$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BARFORD, DONALD A. G</creatorcontrib><creatorcontrib>ROSEN, MORTIMER G</creatorcontrib><title>Cervical Incompetence: Diagnosis and Outcome</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>The results of 147 cervical cerclage procedures were reviewed in a retrospective study. Patient history and past reproductive performance were assessed to determine which factors were predictive of successful pregnancy outcome after cervical cerclage. A past history of spontaneous second trimester abortion or premature labor was associated with a better outcome than was a history classically associated with cervical incompetence. Morbidity immediately following the procedure was low, however significant morbidity related to cervical scarring occurred at the time of delivery. There was poor correlation between the clinical history, examination and adjunctive tests of cervical incompetence, and the pregnancy outcome following cerclage. These observations indicate the need for a prospective, randomized study of the efficacy of this procedure.</description><subject>Abortion, Spontaneous - complications</subject><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>Cervix Uteri - injuries</subject><subject>Cervix Uteri - surgery</subject><subject>Delivery, Obstetric</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Female</subject><subject>Fetal Membranes, Premature Rupture - complications</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Medical sciences</subject><subject>Obstetric Labor, Premature - complications</subject><subject>Pregnancy</subject><subject>Pregnancy Trimester, Second</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Retrospective Studies</subject><subject>Suture Techniques</subject><subject>Time Factors</subject><subject>Uterine Cervical Incompetence - diagnosis</subject><subject>Uterine Cervical Incompetence - surgery</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1LxDAQhoMo67r6E4QexJOFSSZNE2-yfi0s7EXBW8mmU7faL5PWxX9vZYunYeZ5GHjfIzbnOsVYIL4dszmAMHGqpTxlZyF8AABXBmdspjBNudRzdrMk_106W0WrxrV1Rz01jm6j-9K-N20oQ2SbPNoM_QjpnJ0Utgp0Mc0Fe318eFk-x-vN02p5t447oQFjFGiVdsIaQJBG5LpwicDEKbSgHGmOucyVTEBqbraJSAVxqyjlPFFKOFyw68PfzrdfA4U-q8vgqKpsQ-0QMs05JqjNKF5O4rCtKc86X9bW_2RTvJFfTdyGMWPhbePK8K8ZEAoUHzV50PZt1ZMPn9WwJ5_tyFb9LhtbAyUSiLnREvS4xX8nxF-V3GXk</recordid><startdate>198408</startdate><enddate>198408</enddate><creator>BARFORD, DONALD A. G</creator><creator>ROSEN, MORTIMER G</creator><general>The American College of Obstetricians and Gynecologists</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>198408</creationdate><title>Cervical Incompetence: Diagnosis and Outcome</title><author>BARFORD, DONALD A. G ; ROSEN, MORTIMER G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2803-323a68c2a9030492d8fc5235c63a06ce813d4d64504819b5272e1a6e7115662c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Abortion, Spontaneous - complications</topic><topic>Analysis of Variance</topic><topic>Biological and medical sciences</topic><topic>Cervix Uteri - injuries</topic><topic>Cervix Uteri - surgery</topic><topic>Delivery, Obstetric</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Female</topic><topic>Fetal Membranes, Premature Rupture - complications</topic><topic>Gestational Age</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Medical sciences</topic><topic>Obstetric Labor, Premature - complications</topic><topic>Pregnancy</topic><topic>Pregnancy Trimester, Second</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Retrospective Studies</topic><topic>Suture Techniques</topic><topic>Time Factors</topic><topic>Uterine Cervical Incompetence - diagnosis</topic><topic>Uterine Cervical Incompetence - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BARFORD, DONALD A. 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G</au><au>ROSEN, MORTIMER G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cervical Incompetence: Diagnosis and Outcome</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1984-08</date><risdate>1984</risdate><volume>64</volume><issue>2</issue><spage>159</spage><epage>163</epage><pages>159-163</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>The results of 147 cervical cerclage procedures were reviewed in a retrospective study. Patient history and past reproductive performance were assessed to determine which factors were predictive of successful pregnancy outcome after cervical cerclage. A past history of spontaneous second trimester abortion or premature labor was associated with a better outcome than was a history classically associated with cervical incompetence. Morbidity immediately following the procedure was low, however significant morbidity related to cervical scarring occurred at the time of delivery. There was poor correlation between the clinical history, examination and adjunctive tests of cervical incompetence, and the pregnancy outcome following cerclage. These observations indicate the need for a prospective, randomized study of the efficacy of this procedure.</abstract><cop>New York, NY</cop><pub>The American College of Obstetricians and Gynecologists</pub><pmid>6377148</pmid><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0029-7844 |
| ispartof | Obstetrics and gynecology (New York. 1953), 1984-08, Vol.64 (2), p.159-163 |
| issn | 0029-7844 1873-233X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_81135389 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Abortion, Spontaneous - complications Analysis of Variance Biological and medical sciences Cervix Uteri - injuries Cervix Uteri - surgery Delivery, Obstetric Diseases of mother, fetus and pregnancy Female Fetal Membranes, Premature Rupture - complications Gestational Age Gynecology. Andrology. Obstetrics Humans Infant, Low Birth Weight Infant, Newborn Medical sciences Obstetric Labor, Premature - complications Pregnancy Pregnancy Trimester, Second Pregnancy. Fetus. Placenta Retrospective Studies Suture Techniques Time Factors Uterine Cervical Incompetence - diagnosis Uterine Cervical Incompetence - surgery |
| title | Cervical Incompetence: Diagnosis and Outcome |
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