Korean J Obstet Gynecol.
1997 Sep;40(9):1887-1894.
Study on Pregnancy Outcomes after Transabdominal Cervico-Isthmic Cerclage before Pregnancy
- Affiliations
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- 1Department of Obstetrics and Gynecology, College of Medicine, Hanyang University, Seoul, Korea.
- 2Department of Obstetrics and Gynecology, Nowon Eulji Hospital, Seoul, Korea.
- 3Department of Obstetrics and Gynecology, Samsung Cheil Hospital, Seoul, Korea.
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.
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