Perioperative complications of history-indicated and ultrasound-indicated cervical cerclage - 19/08/11
Résumé |
Objective |
To evaluate perioperative complications of history- and ultrasound-indicated cerclage.
Methods |
We performed a retrospective observational study of a cohort of patients who underwent history- (n = 198) or ultrasound-indicated (n = 89) cerclage procedures. We evaluated the rates of perioperative complications based on indication for cerclage. The χ2 was used for categorical variables and Student t test for continuous data.
Results |
One patient (0.35%) had an intraoperative complication (unsuccessful regional anesthesia) and 1 patient (0.35%) had a postoperative complication (contractions and bleeding 2 weeks after cerclage placement, delivered a nonviable infant). Peripartum complications included chorioamnionitis (6.2%), preterm premature rupture of membranes (11%), preterm delivery (20%), and delivery before 32 weeks' gestational age (8%), and they were similar in the history-indicated and ultrasound-indicated groups.
Conclusion |
History- and ultrasound-indicated cerclages are associated with a 0.6%; 95% confidence interval, −0.26 to 1.66 risk of perioperative complications. There was no difference in perioperative complications or outcome between the 2 groups.
Le texte complet de cet article est disponible en PDF.Key words : cerclage, cervical insufficiency, perioperative complications, surgical complications
Plan
| Cite this article as: Drassinower D, Poggi SH, Landy HJ, et al. Perioperative complications of history-indicated and ultrasound-indicated cervical cerclage. Am J Obstet Gynecol 2011;205:53.e1-5. |
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| Reprints not available from the authors. |
Vol 205 - N° 1
P. 53.e1-53.e5 - juillet 2011 Retour au numéro
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