Pre-pregnancy transabdominal cerclage

Lea Langhoff Thuesen; Birgitte Rode Diness; Jens Langhoff-Roos

doi:10.1080/00016340902730383

Pre-pregnancy transabdominal cerclage

Lea Langhoff Thuesen, Birgitte Rode Diness, Jens Langhoff-Roos

Section of Health Services Research

13 Citations (Scopus)

Abstract

A consecutive series of 45 women with one or more previous second trimester deliveries, who had a pre-pregnancy transabdominal cerclage (TAC) from 1999 to July 2007, was followed until January 2008. Within the observation period 50 pregnancies occurred in 36 women. Seven resulted in first trimester abortions, none in second trimester abortions or deliveries, and six were on-going pregnancies. In the remaining 37 pregnancies the fetal salvage rate was 100%, and cesarean section was performed after 34 weeks (mean 36+5 weeks) in 36 (97%) pregnancies. One woman had three successful pregnancies following the procedure. No serious complications were associated with the application of TAC. One woman had a hysterectomy following cesarean section. Pre-pregnancy TAC is a procedure with few complications and excellent outcome. The method may be considered in women with a second trimester fetal loss, when cervical incompetence cannot be ruled out.

Original language	English
Journal	Acta Obstetricia et Gynecologica Scandinavica
Volume	88
Issue number	4
Pages (from-to)	483-6
Number of pages	3
ISSN	0001-6349
DOIs	https://doi.org/10.1080/00016340902730383
Publication status	Published - 2009

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title = "Pre-pregnancy transabdominal cerclage",

abstract = "A consecutive series of 45 women with one or more previous second trimester deliveries, who had a pre-pregnancy transabdominal cerclage (TAC) from 1999 to July 2007, was followed until January 2008. Within the observation period 50 pregnancies occurred in 36 women. Seven resulted in first trimester abortions, none in second trimester abortions or deliveries, and six were on-going pregnancies. In the remaining 37 pregnancies the fetal salvage rate was 100%, and cesarean section was performed after 34 weeks (mean 36+5 weeks) in 36 (97%) pregnancies. One woman had three successful pregnancies following the procedure. No serious complications were associated with the application of TAC. One woman had a hysterectomy following cesarean section. Pre-pregnancy TAC is a procedure with few complications and excellent outcome. The method may be considered in women with a second trimester fetal loss, when cervical incompetence cannot be ruled out.",

author = "Thuesen, {Lea Langhoff} and Diness, {Birgitte Rode} and Jens Langhoff-Roos",

note = "Keywords: Abortion, Habitual; Adult; Cerclage, Cervical; Cesarean Section; Female; Gestational Age; Humans; Postoperative Complications; Pregnancy; Pregnancy Outcome; Premature Birth; Risk Factors; Time Factors; Treatment Failure; Uterine Cervical Incompetence",

year = "2009",

doi = "10.1080/00016340902730383",

language = "English",

volume = "88",

pages = "483--6",

journal = "Acta Obstetricia et Gynecologica Scandinavica",

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T1 - Pre-pregnancy transabdominal cerclage

AU - Thuesen, Lea Langhoff

AU - Diness, Birgitte Rode

AU - Langhoff-Roos, Jens

N1 - Keywords: Abortion, Habitual; Adult; Cerclage, Cervical; Cesarean Section; Female; Gestational Age; Humans; Postoperative Complications; Pregnancy; Pregnancy Outcome; Premature Birth; Risk Factors; Time Factors; Treatment Failure; Uterine Cervical Incompetence

PY - 2009

Y1 - 2009

N2 - A consecutive series of 45 women with one or more previous second trimester deliveries, who had a pre-pregnancy transabdominal cerclage (TAC) from 1999 to July 2007, was followed until January 2008. Within the observation period 50 pregnancies occurred in 36 women. Seven resulted in first trimester abortions, none in second trimester abortions or deliveries, and six were on-going pregnancies. In the remaining 37 pregnancies the fetal salvage rate was 100%, and cesarean section was performed after 34 weeks (mean 36+5 weeks) in 36 (97%) pregnancies. One woman had three successful pregnancies following the procedure. No serious complications were associated with the application of TAC. One woman had a hysterectomy following cesarean section. Pre-pregnancy TAC is a procedure with few complications and excellent outcome. The method may be considered in women with a second trimester fetal loss, when cervical incompetence cannot be ruled out.

AB - A consecutive series of 45 women with one or more previous second trimester deliveries, who had a pre-pregnancy transabdominal cerclage (TAC) from 1999 to July 2007, was followed until January 2008. Within the observation period 50 pregnancies occurred in 36 women. Seven resulted in first trimester abortions, none in second trimester abortions or deliveries, and six were on-going pregnancies. In the remaining 37 pregnancies the fetal salvage rate was 100%, and cesarean section was performed after 34 weeks (mean 36+5 weeks) in 36 (97%) pregnancies. One woman had three successful pregnancies following the procedure. No serious complications were associated with the application of TAC. One woman had a hysterectomy following cesarean section. Pre-pregnancy TAC is a procedure with few complications and excellent outcome. The method may be considered in women with a second trimester fetal loss, when cervical incompetence cannot be ruled out.

U2 - 10.1080/00016340902730383

DO - 10.1080/00016340902730383

M3 - Journal article

C2 - 19172444

SN - 0001-6349

VL - 88

SP - 483

EP - 486

JO - Acta Obstetricia et Gynecologica Scandinavica

JF - Acta Obstetricia et Gynecologica Scandinavica

IS - 4

ER -

Pre-pregnancy transabdominal cerclage

Abstract

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