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- Title
Laparoscopic transabdominal cerclage in pregnancy: A single centre experience.
- Authors
Ades, Alex; Aref‐Adib, Mehrnoosh; Parghi, Sneha; Hong, Phoebe
- Abstract
Background: Transabdominal cerclage can reduce the risk of preterm birth in women with cervical insufficiency. Aims: This study evaluated outcomes following insertion of a laparoscopic transabdominal cerclage in pregnant women. Materials and methods: A retrospective observational study. Patients: pregnant women who underwent laparoscopic transabdominal cerclage from 2011 to 2017. Eligible women had cervical insufficiency and were not suitable for a transvaginal cerclage. Intervention: the insertion of a laparoscopic transabdominal cerclage in the pregnancy. Measurements: neonatal survival, delivery of an infant at ≥34 weeks gestation and surgical morbidity were evaluated. Results: Of 19 women who underwent laparoscopic transabdominal cerclage in pregnancy, at 6–11 weeks gestation, the perinatal survival rate was 100%. There were no complications. The average gestational age at delivery was 37.1 weeks. Sixteen women delivered after 34 weeks. Conclusions: Laparoscopic transabdominal cerclage is a safe and effective procedure in women with poor obstetric histories. It requires the correct skill, expertise and patient selection.
- Subjects
AUSTRALIA; CONVALESCENCE; GESTATIONAL age; LAPAROSCOPIC surgery; EVALUATION of medical care; SCIENTIFIC observation; PREGNANCY; FIRST trimester of pregnancy; PREGNANT women; SURVIVAL; UTERINE cervix incompetence; RETROSPECTIVE studies; CERVICAL cerclage; EVALUATION
- Publication
Australian & New Zealand Journal of Obstetrics & Gynaecology, 2019, Vol 59, Issue 3, p351
- ISSN
0004-8666
- Publication type
Article
- DOI
10.1111/ajo.12848