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Fertility outcome following transvaginal cervicoisthmic cerclage using a polypropylene sling
Author(s) -
Deffieux Xavier,
Faivre Erika,
Senat Marie Victoire,
Fuchs Florent,
Gervaise Amélie,
Fernandez Hervé
Publication year - 2010
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2009.11.011
Subject(s) - medicine , pregnancy , obstetrics , fertility , sling (weapon) , abortion , interquartile range , gynecology , live birth , pregnancy rate , infertility , surgery , population , genetics , environmental health , biology
Objective To report fertility and pregnancy outcomes following transvaginal cervicoisthmic cerclage with a polypropylene sling during a previous pregnancy. Methods A continuous series of 57 women who underwent prophylactic cervicoisthmic cerclage during a previous (reference) pregnancy were enrolled. Telephone interviews were carried out to evaluate each patient's subsequent fertility. Results Among the 57 women interviewed, 8 had an inadequate follow‐up, 13 women were lost to follow‐up, 1 woman required a hemostatic hysterectomy, and 2 women required removal of the sling. Nineteen women did not desire a subsequent pregnancy. Of the 14 women who did desire a subsequent pregnancy, 1 woman had previously known tubal infertility. Of the 13 remaining women, 7 subsequently became pregnant. One woman had a spontaneous abortion (11 weeks of pregnancy); 1 woman delivered at 22 weeks of pregnancy, after a spontaneous premature membrane rupture; 1 woman had a cesarean delivery at 25 weeks of pregnancy; and 4 patients had a cesarean delivery after 37 weeks of pregnancy. Median duration of the 4 subsequent pregnancies at delivery was 37 weeks (interquartile range [IQR], 37–38 weeks). Median birth weight was 3040 g (IQR, 2500–3250 g). Conclusion Subsequent pregnancy is possible after transvaginal cervicoisthmic cerclage using a synthetic sling.