Cervical stitch (cerclage) for preventing preterm birth in singleton pregnancy

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Individual patient data meta-analysis : Cervical stitch (cerclage) for preventing pregnancy loss in women

BACKGROUND A cervical stitch has been used to prevent preterm deliveries in women with previous second trimester pregnancy losses, or other risk factors such as short cervix on digital or ultrasound examination. OBJECTIVES To assess effectiveness and safety of prophylactic cerclage (before the cervix has dilated), emergency cerclage (where cervices have started to shorten and dilate) and then...

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Cervical stitch (cerclage) for preventing pregnancy loss: individual patient data meta-analysis.

BACKGROUND Several observational studies have claimed high success rates for cerclage in women with cervical insufficiency. A recent Cochrane review found no conclusive evidence of benefit, although significant heterogeneity was present for some of the important clinical outcomes. OBJECTIVES We undertook an individual patient data (IPD) meta-analysis to examine effect of cerclage on neonatal ...

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Vaginal progesterone, cerclage or cervical pessary for preventing preterm birth in asymptomatic singleton pregnant women with a history of preterm birth and a sonographic short cervix.

OBJECTIVE To compare the outcome of pregnancy in cohorts of women with singleton pregnancy and history of preterm birth and sonographic short cervix managed with different treatment protocols, namely cerclage, vaginal progesterone or cervical pessary. METHODS This was a comparison of three management protocols for women with singleton pregnancy and a high risk of preterm birth because of a pr...

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Cervical cerclage for preventing preterm birth in twin pregnancies. A systematic review and meta-analysis.

OBJECTIVES To evaluate the effect of cervical cerclage on preventing preterm birth in twin pregnancies. METHODS We searched Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, Current Controlled Trials, China Biology Medicine (CBM), Chinese National Knowlegde Infrastructure (CNKI) and VIP Chinese Journal database (VIP) from April to August 2012. All available randomized...

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Cervical cerclage for prevention of preterm birth: A commentary

Cervical cerclage remains a proven method for the prevention of preterm birth caused by a ‘weak cervix’. However, there is controversy as regards the precise diagnosis and definition of ‘cervical incompetence’, the actual surgical technique, choice of suture material and number of sutures and ties to be made during the procedure. There is now emerging evidence that other alternatives to cervica...

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ژورنال

عنوان ژورنال: Cochrane Database of Systematic Reviews

سال: 2017

ISSN: 1465-1858

DOI: 10.1002/14651858.cd008991.pub3