RESUMEN

We retrospectively reviewed 76 cerclage procedures done in 62 patients from January 1980 through October 1987 at the Louisiana State University Medical Center, Shreveport. The study showed a significant increase in fetal salvage after cerclage--from 23% to 72%. Emergency cerclage resulted in a fetal salvage rate of only 12%, in contrast to elective cerclage, which yielded a fetal salvage of 81%. Furthermore, fetal salvage was lower when the cerclage was done at less than 12 weeks' estimated gestational age (65%). The McDonald cerclage was done in 69 procedures, using a single suture in 49 patients and a double suture in 20. The fetal salvage rate was the same regardless of the number of sutures placed.

Asunto(s)

Resultado del Embarazo , Técnicas de Sutura , Incompetencia del Cuello del Útero/cirugía , Centros Médicos Académicos , Urgencias Médicas , Femenino , Humanos , Louisiana , Embarazo , Segundo Trimestre del Embarazo , Estudios Retrospectivos , Técnicas de Sutura/instrumentación , Factores de Tiempo , Incompetencia del Cuello del Útero/diagnóstico