Study on Pregnancy Outcomes after Transabdominal Cervico-Isthmic Cerclage before Pregnancy.
- Author:
Joong Sub CHOI
1
;
Moon Il PARK
;
Jung Hye HWANG
;
Seung Ryong KIM
;
Dae Woon KIM
;
Jae Hyuck YANG
;
Jae Auk LEE
;
Youn Yeung HWANG
Author Information
1. Department of Obstetrics and Gynecology, College of Medicine, Hanyang University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Pre-conceptional transabdominal cervicoisthmic cerclage;
Incompetent cervix;
Pregnacy outcomes
- MeSH:
Academic Medical Centers;
Cerclage, Cervical;
Cervix Uteri;
Cesarean Section, Repeat;
Female;
Humans;
Pregnancy;
Pregnancy Outcome*;
Pregnancy*;
Retrospective Studies;
Uterine Cervical Incompetence
- From:Korean Journal of Obstetrics and Gynecology
1997;40(9):1887-1894
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: Our purpose was to evaluate the effect of transabdominal cervicoisthmic cerclage before pregnancy among the patients who had poor obstetric outcome from previous failed transvaginal cervical cerclage and/or an anatomically defective cervix. STUDY DESIGN: A retrospective review of pre-conceptional transabdominal cervicoisthmic cerclage patients was conducted at Hanyang University Medical Center from 1989 to 1997, and analysis of the pregnancy outcomes after preconceptional transabdominal cervicoisthmic cerclage operation. RESULTS: The fifteen patients had 11 successful pregnancy outcomes. Two patients had two consecutive succesful pregnancies and repeat cesarean section deliveries after TCIC. CONCLUSION: We conclude that the transabdominal cervicoisthmic cerclage before pregnancy offers a high rate of fetal salvage with a minimal complications in patients with extremely poor obstertric histories as a result of cervical incompetence, where vaginal cerclage is not warranted.
