OBJECTIVES To establish the relationship of cervical length at 23 weeks of gestation to the risk of spontaneous delivery before 33 weeks and to determine the possible additional risk if funneling is present. METHODS During a 36-month period, 6819 women with singleton pregnancies underwent transvaginal sonographic cervical assessment at 22-24 weeks as a screening test for preterm delivery. The...

Abdominal cerclages are necessary when the standard transvaginal cerclages fail or anatomical abnormalities preclude the vaginal placement. The disadvantage of the transabdominal approach is that it requires at least 2 laparotomies with significant morbidity and hospital stays. We discuss a case of abdominal cerclage performed laparoscopically. We feel it offers less morbidity and in the proper...

BACKGROUND Cervical incompetence is one of the main contributors to repeated pregnancy loss, accounting for approximately 25% of the cases. Typically it results in progressive cervical dilatation, leading to a painless second- or early-third-trimester abortion. OBJECTIVES The main objective of the study was to explore the benefit from cervical cerclage in pregnant women with anatomical cervic...

INTRODUCTION The aim of this study was to investigate neutrophil elastase (NE) in amniotic fluid as a potential marker for predicting pregnancy continuation. MATERIAL AND METHODS We enrolled 34 pregnant women with bulging fetal membrane during the second trimester who underwent emergent cerclage after confirming the absence of intrauterine infection (amniotic fluid glucose ≥15 mg/dL). Amnioti...

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...

AIM To evaluate the effectiveness of adjunctive pessary therapy after emergency cervical cerclage (ECC) in improving perinatal outcome in cervical insufficiency with fetal membranes protruding into the vagina. MATERIAL AND METHODS A retrospective analysis of patients treated at the 1st Department of Obstetrics and Gynecology, Medical University of Warsaw, between 2008 and 2013. The study grou...

Aim: The aim of this study is to compare pregnancy and neonatal results with regards the thickness suture material used in transvaginal cerclage operation. Materials Methods: Patients who were subject cervical due insufficiency evaluated a secondary care center between 2103 2021. demographic data, indications (ultrasound induced, prophylactic, or physical examination induced), number weeks at c...

OBJECTIVE To compare the incidences of preterm delivery, cervical incompetence treated by cerclage, placental implantation or retention problems (ie, placenta praevia, placental abruption and retained placenta) and postpartum haemorrhage between women with and without a history of pregnancy termination. DESIGN  A retrospective cohort study using aggregated data from a national perinatal regis...

OF the techniques used in the surgery of retinal detachment to appose choroid and retina, Arruga's equatorial cerclage suture (see Arruga, 1958a, b, 1961, 1962), which is a modification of a technique used by Schepens, Okamura, and Brockhurst (1957, 1958), is probably one of the simplest yet most rewarding. The equatorial cerclage suture seals the intra-retinal space at the equator, at first me...