Perinatal outcome following prior delivery in the late second or early third trimester

Michael L Socol*, Sharon L Dooley, Ralph K Tamura, O. Richard Depp

*Corresponding author for this work

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Forty pregnancies in 37 women who were previously delivered of a live-born fetus between 20 and 32 weeks' gestation are reported here. Fourteen pregnancies were treated with cervical cerclage between 14 and 16 weeks. Twenty-six pregnancies were initially managed conservatively, but three of these patients had a McDonald cerclage placed between 18 and 23 weeks because of significant change in cervical effacement or dilatation. The risk of preterm delivery was 36% (5 of 14) in the cerclage group and 38% (10 of 26) in those patients managed conservatively. The perinatal survival rates were 93% (13 of 14) and 88% (23 of 26), respectively. These results are encouraging when it is considered that only 14% (9 of 64) of prior gestations (exclusive of spontaneous abortions and elective terminations) were carried to term and the perinatal survival rate was 28% (18 of 64). Although this study was nonrandom, these results also support the selective use of cervical cerclage on the basis of past history and physical examination.

Original languageEnglish (US)
Pages (from-to)228-231
Number of pages4
JournalAmerican Journal of Obstetrics and Gynecology
Volume150
Issue number3
DOIs
StatePublished - Jan 1 1984

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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