Transabdominal cerclage: the significance of dual pathology and increased preterm delivery.

Farquharson, Roy G; Topping, Joanne; Quenby, Siobhan M · BJOG · 2005

case_series · Level IV

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Abstract

Transabdominal cerclage is a recognised treatment for cervical weakness with a history of recurrent mid-trimester loss and a failed elective vaginal suture. The emergence of dual pathology, such as antiphospholipid syndrome and bacterial vaginosis, is associated with an increased risk of preterm delivery (RR 2.34, 95% CI 1.15-5.8). The first 40 cases are described where strict adherence to an investigation protocol and consistent treatment plan has been implemented.

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