Interval to spontaneous delivery after elective removal of cerclage.
Publication/Presentation Date
8-1-2009
Abstract
OBJECTIVE: The purpose of this study was to estimate the time interval between elective cerclage removal and spontaneous delivery.
METHODS: Singleton pregnancies with McDonald cerclage were evaluated for the interval between elective cerclage removal (36-37 weeks) and spontaneous delivery. We also compared spontaneous delivery within 48 hours after cerclage removal between women with ultrasound-indicated vs history-indicated cerclage.
RESULTS: We identified 141 women with elective cerclage removal. The mean interval between removal and delivery was 14 days. Only 11% of women delivered within 48 hours. Women with ultrasound-indicated cerclage were more likely to deliver within 48 hours, compared with women with history-indicated cerclage (odds ratio, 5.14; 95% confidence interval, 1.10-24.05).
CONCLUSION: The mean interval between elective cerclage removal and spontaneous delivery is 14 days. Women with cerclage who achieved 36-37 weeks should be counseled that their chance of spontaneous delivery within 48 hours after elective cerclage removal is only 11%.
Volume
201
Issue
2
First Page
1
Last Page
4
ISSN
1097-6868
Published In/Presented At
Bisulli, M., Suhag, A., Arvon, R., Seibel-Seamon, J., Visintine, J., & Berghella, V. (2009). Interval to spontaneous delivery after elective removal of cerclage. American journal of obstetrics and gynecology, 201(2), 163.e1–163.e1634. https://doi.org/10.1016/j.ajog.2009.04.022
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
19560112
Department(s)
Administration and Leadership
Document Type
Article