Preconceptional laparoscopic abdominal cerclage: a multicenter cohort study: a multicenter cohort study

N.B. Burger, J.I. Einarsson, H.A.M. Brölmann, F.E.M. Vree, T.F. McElrath, J.A.F. Huirne

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Abstract

OBJECTIVE: The purpose of this study was to evaluate the effectiveness of laparoscopic abdominal cerclage placement in the prevention of recurrent preterm birth. STUDY DESIGN: We conducted a multicenter cohort study with retrospective Dutch (32 patients) and Boston (34 patients) cohorts who had undergone preconceptional laparoscopic abdominal cerclage placement. Eligible patients had at least 1 second/third trimester fetal loss or delivered at <34 weeks of gestation because of cervical insufficiency and/or a short or absent cervix. Primary outcome was delivery of an infant at >= 34 weeks of gestation with neonatal survival. Secondary outcome measures included surgical and pregnancy outcomes and patients' satisfaction (Dutch cohort). RESULTS: Surgical outcomes of 66 patients were excellent, with 3 minor complications. After preconceptional laparoscopic abdominal cerclage, 35 pregnancies were evaluated. Twenty-five patients (71.4%) delivered at >= 34 weeks of gestation; 3 patients (8.6%) experienced a second-trimester fetal loss. The total fetal survival rate was 90.0%. CONCLUSION: Preconceptional laparoscopic abdominal cerclage shows encouraging and favorable perinatal outcomes in patients with a poor obstetric history
Original languageEnglish
Pages (from-to)273.e1-273.e12
JournalAmerican Journal of Obstetrics and Gynecology
Volume207
Issue number4
DOIs
Publication statusPublished - 2012

Keywords

  • Adult
  • Cerclage, Cervical
  • Cervix Uteri/surgery
  • Cohort Studies
  • Female
  • Follow-Up Studies
  • Humans
  • Laparoscopy
  • Obstetric Labor, Premature/prevention & control
  • Pregnancy
  • Premature Birth/prevention & control
  • Retrospective Studies
  • Secondary Prevention
  • Treatment Outcome

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