Korean J Obstet Gynecol.  2004 Jun;47(6):1218-1222.

Experiences of Amnioreduction and Emergency Cerclage for Advanced Cervical Incompetence

• Kwon SY
• Han SI
• Kim HC
• Kong DS
• Lee GH
• Kim IH

Abstract

Cervical incompetence is one of the main contributors to repeated pregnancy loss and preterm delivery. Typically it results in progressive cervical dilatation, leading to a painless second or early third trimester abortion. Emergency cerclage can be used in the setting of advanced cervical incompetence, even when fetal membranes bulge through the dilated cervix. To facilitate the procedure, various techniques have been developed to replace the fetal membranes into the uterine cavity. We performed six successful cases of emergency cerclage combined with amnioreduction in advanced incompetent internal os of cervix (IIOC). Interval from emergency cerclage to delivery was 8.1 +/- 2.4 weeks (range 4-10 weeks) and we delivered viable fetuses in all but one. Hereby we report our experiences with a brief review of literature.

Keyword

Amnioreduction; Emergency cerclage; Incompetent internal os of cervix (IIOC)

MeSH Terms

Cervix Uteri
Emergencies*
Extraembryonic Membranes
Female
Fetus
Humans
Labor Stage, First
Pregnancy
Pregnancy Trimester, Third