Emergency Cerclage Placement in Multifetal Pregnancies with a Dilated Cervix and Exposed Membranes: Case Series

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Emergency Cerclage Placement in Multifetal Pregnancies with a Dilated Cervix and Exposed Membranes: Case Series

Pregnancies complicated by midtrimester painless cervical dilation are known to have associations with preterm birth. In situations where fetal amniotic membranes are exposed, the risk of perinatal morbidity and mortality increases dramatically in this particularly high-risk population. Multifetal gestations further increase the risk of preterm birth, yet there remains a paucity of data support...

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Outcomes of mid-trimester emergency cerclage in twin pregnancies.

INTRODUCTION Placement of emergency cerclage at mid-trimester is controversial. At present, clinical trials comparing outcomes of mid-trimester cerclage to bed rest in twin pregnancies are lacking. Our aim was to examine the efficacy, safety and outcomes of mid-trimester cerclage in patients carrying twin gestations. MATERIAL AND METHODS We retrospectively studied the outcomes of 14 patients ...

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Pessary versus cerclage versus expectant management for cervical dilation with visible membranes in the second trimester.

OBJECTIVE We evaluated pessary for dilated cervix and exposed membranes for prolonging pregnancy compared to cerclage or expectant management. METHODS Multicenter retrospective cohort study of women, 15-24 weeks, singleton pregnancies, dilated cervix ≥2 cm and exposed membranes. Women received pessary, cerclage or expectant management. Primary outcome was gestational age (GA) at delivery. Sec...

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Antepartum management of multifetal pregnancies.

Correct antepartum management of multifetal gestations is a critical skill for practitioners of obstetrics. This article reviews important issues surrounding these complicated pregnancies while discussing current management options and recommendations. Topics include antepartum surveillance, preterm labor prediction, diagnosis, and management, and special situations unique to multiple gestation...

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Multifetal pregnancies: preterm admissions and outcomes.

OBJECTIVE To describe the rates of antenatal hospital admission during twin or higher order multifetal pregnancies, and the admission outcomes as discharge undelivered, transfer to higher care, or spontaneous or elective delivery. METHODS Cohort study using linked birth and hospital data. The cohort comprised women who gave birth to twins or higher order multiple infants of≥24 weeks gestation...

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ژورنال

عنوان ژورنال: American Journal of Perinatology Reports

سال: 2012

ISSN: 2157-6998,2157-7005

DOI: 10.1055/s-0032-1326995