Open AccessRepeat cerclage prolongs pregnancy in women with prolapsed membranes
Author(s) -
SONG JIEUN,
LEE KEUNYOUNG,
JUN HYUNAH
Publication year - 2011
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1111/j.1600-0412.2010.01006.x
Subject(s) - medicine , odds ratio , cervical cerclage , pregnancy , gestation , confidence interval , gestational age , bed rest , surgery , biology , genetics
We evaluated repeat cerclage in women with prolapsed membranes. Twenty‐two women with bulging membranes after primary cerclage were offered repeat cerclage; 11 chose a repeat cerclage and 11 chose bed rest. The median gestational age at delivery, birthweight and survival rates were significantly higher in the repeat cerclage group compared to the bed rest group (mean 26.8 weeks vs. 21.7 weeks, p = 0.04, mean birthweight 1180 g vs. 491 g, p = 0.01 odds ratio for survival 22.0, 95% CI, 2.1–236). Early repeat cerclage under antibiotic cover may be beneficial in women with bulging membranes after a prior failing cerclage attempt.