Archives of Gynecology and Obstetrics

, Volume 281, Issue 5, pp 891–894

Evaluation of outcomes after transabdominal cervicoisthmic cerclage

  • Eric James Knudtson
  • Jennifer Peck
  • Valerie Skaggs
  • Andrew Elimian
  • Jean Goodman
  • John Stanley
General Gynecology

DOI: 10.1007/s00404-009-1206-x

Cite this article as:
Knudtson, E.J., Peck, J., Skaggs, V. et al. Arch Gynecol Obstet (2010) 281: 891. doi:10.1007/s00404-009-1206-x

Abstract

Purpose

To evaluate maternal and neonatal outcomes after transabdominal cerclage.

Methods

Retrospective analysis of 15 patients receiving transabdominal cerclage. Using the patient’s prior pregnancy as her own control, we assessed the effect of this procedure on gestational age and neonatal survival.

Results

All patients had experienced a prior pregnancy loss. Twelve out of the 15 patients (80%) had at least one prior failed vaginal cerclage. The median gestational age at surgery was 14 (range 12–16) weeks. There was one case of surgical site infection. After cerclage, the proportion of women delivered beyond 32 weeks was significantly higher [11/15 (73.3%) vs. 1/15 (6.7%), P = 0.0016], as was neonatal survival [12/15 (80%) vs. 1/15 (6.7%), P = 0.0009].

Conclusions

While transabdominal cerclage is a major surgical procedure, subsequent pregnancy outcomes were improved.

Keywords

Cervical incompetenceTransvaginal cerclageTransabdominal cerclage

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Eric James Knudtson
    • 1
  • Jennifer Peck
    • 2
  • Valerie Skaggs
    • 2
  • Andrew Elimian
    • 1
  • Jean Goodman
    • 1
  • John Stanley
    • 3
  1. 1.Department of Obstetrics and Gynecology, Division of Maternal Fetal MedicineThe University of Oklahoma Health Sciences CenterOklahoma CityUSA
  2. 2.The College of Public Health, Department of Biostatistics and EpidemiologyThe University of Oklahoma Health Sciences CenterOklahoma CityUSA
  3. 3.The Perinatal Center of OklahomaOklahoma CityUSA