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Transvaginal cervicoisthmic cerclage using a polypropylene sling: Pregnancy outcome
Author(s) -
Deffieux Xavier,
Faivre Erika,
Senat MarieVictoire,
Gervaise Amélie,
Fernandez Hervé
Publication year - 2011
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2010.01514.x
Subject(s) - medicine , gestation , interquartile range , sling (weapon) , pregnancy , gestational age , obstetrics , population , surgery , gynecology , genetics , environmental health , biology
Aim: To report pregnancy outcome following prophylactic transvaginal cervicoisthmic cerclage using a polypropylene sling in a population of high‐risk pregnant women. Materials and Methods: A retrospective study with a continuous series of 57 women presenting with prior failure of McDonald cerclage ( n = 47) and/or absent portio‐vaginalis of the cervix ( n = 10). Results: Cervicoisthmic cerclage was performed between 12 and 16 weeks of gestation (median 14 weeks' gestation). No intraoperative complication occurred. Preterm labor treated with parenteral tocolysis occurred in 14 women (24%). Cesarean delivery was systematically performed. Median gestational age at delivery was 37.2 weeks' gestation (interquartile range: 36.5–38.0). Overall neonatal survival rate was 94%. Conclusion: Transvaginal cervicoisthmic cerclage using a polypropylene sling may be considered as an effective alternative to the transabdominal cervicoisthmic cerclage in women presenting with previous cerclage failure.