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Obstetrics & Gynecology 1999;94:117-119
© 1999 by The American College of Obstetricians and Gynecologists
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ORIGINAL RESEARCH

Change in Cervical Length After Prophylactic Cerclage

EDMUND F. FUNAI, MD, MICHAEL J. PAIDAS, MD, ANDREI REBARBER, MD, LORAINE O’NEILL, RN, TODD J. ROSEN, MD and BRUCE K. YOUNG, MD

From the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, New York University School of Medicine, New York, New York.

Address reprint requests to: Edmund F. Funai, MD, New York University School of Medicine, NB-9E2, 550 First Avenue, New York, NY 10016, E-mail: eff1{at}is4.nyu.edu

Objective: To determine changes in length of incompetent cervices after cerclage, using transvaginal ultrasound.

Methods: Patients were enrolled in a prospective, observational study under an Institutional Review Board–approved protocol. McDonald or Shirodkar sutures were placed according to physician preference. Pre- and postcer-clage cervical lengths were measured within 72 hours of the procedure. At each examination, the first measurement was discarded, and a mean of the subsequent three measurements was calculated.

Results: Twenty-one Shirodkar and ten McDonald operations were done. The mean (± standard deviation) precerclage cervical length was 2.7 ± 0.9 cm and the postcerclage cervical length was 3.6 ± 0.9 cm (P < .001, paired t test).

Conclusion: Prophylactic cerclage results in measurable increases in cervical length, which might contribute to the success of the procedure. Further study is needed to determine whether the degree of cervical lengthening after cerclage predicts term delivery.




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M.P. O'Connell and S.W. Lindow
Reversal of asymptomatic cervical length shortening with cervical cerclage: a preliminary study
Hum. Reprod., January 1, 2001; 16(1): 172 - 173.
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 Obstet GynecolHome page
K. DIJKSTRA, E. F. FUNAI, L. O'NEILL, A. REBARBER, M. J. PAIDAS, and B. K. YOUNG
Change in Cervical Length After Cerclage as a Predictor of Preterm Delivery
Obstet. Gynecol., September 1, 2000; 96(3): 346 - 350.
[Abstract] [Full Text] [PDF]


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Copyright © 1999 by the American College of Obstetricians and Gynecologists.