A randomized controlled trial of cervical cerclage in women at high risk of spontaneous preterm delivery

Rush RW; Isaacs S; McPherson K; Jones L; Chalmers I; Grant A

doi:10.1111/j.1471-0528.1984.tb04840.x

Uterine and Pelvic Conditions · Cervical Conditions

A randomized controlled trial of cervical cerclage in women at high risk of spontaneous preterm delivery

Rush RW, Isaacs S, McPherson K, Jones L, Chalmers I, Grant A

Published August 1984 British Journal of Obstetrics and Gynaecology, 91(8), 724-730

DOI 10.1111/j.1471-0528.1984.tb04840.x PMID 6380564

Abstract

The effect of cervical suture on pregnancy outcome was studied in 194 women with a high risk (approximately 30%) of having a late abortion or a preterm delivery. The women were randomly allocated either to have a cervical suture inserted (n = 96) or to be managed without a suture (n = 98). There was no evidence that cervical cerclage either prolonged gestation or improved survival. Patients allocated to receive cerclage spent significantly longer in hospital, even when the period of admission for insertion was excluded. The patients in the cerclage group were more likely to receive tocolytic drugs, and more of them experienced puerperal pyrexia, although these differences between the groups were not statistically significant.

Topics

Uterine and Pelvic Conditions › Cervical Conditions › Cervical Insufficiency · Pregnancy › Preterm Birth › Tocolytic Therapy · Birth and Delivery › Birth Outcomes › Maternal Morbidity

PMID 6380564 6380564 DOI 10.1111/j.1471-0528.1984.tb04840.x 10.1111/j.1471-0528.1984.tb04840.x Rush et al. 1984, Rush 1984

Keywords

Adolescent, Adult, Cervix Uteri/surgery, Clinical Trials As Topic, Female, Gestational Age, Humans, Medical History Taking, Obstetric Labor, Premature/prevention & Control, Pregnancy, Random Allocation, Risk, Sutures, Uterine Cervical Incompetence/surgery

A randomized controlled trial of cervical cerclage in women at high risk of spontaneous preterm delivery

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