abstract background: to compare pregnancy outcomes in women at risk for cervical incompetence after elective versus ultrasound- indicated cerclage. methods: in a prospective randomized tlial, singleton pregnancies with at least one previous spontaneous midtrimester loss or early preterm delivery (between 15 and 32 weeks' gestation) who met clinical crite1ia for the diagnosis of cervical in...

Background: To compare pregnancy outcomes in women at risk for cervical incompetence after elective versus ultrasound indicated cerclage. Methods: In a prospective randomized trial, singleton pregnancies with at least one previous spontaneous midtrimester loss or early preterm delivery (between 15 and 32 weeks’ gestation) who met clinical criteria for the diagnosis of cervical incompe­ tence we...

 ABSTRACT Background: To compare pregnancy outcomes in women at risk for cervical incompetence after elective versus ultrasound- indicated cerclage. Methods: In a prospective randomized tlial, singleton pregnancies with at least one previous spontaneous midtrimester loss or early preterm delivery (between 15 and 32 weeks' gestation) who met clinical crite1ia for the diagnosis of cervical incomp...

Received: 25.11.2009; Accepted: 13.09.2011 doi: 10.1016/S0377-1237(11)60107-X • Gravida2: Six years back, spontaneous abortion at 12 weeks gestation, managed at a civil hospital. • Gravida3: Five years back, spontaneous abortion at 20 weeks gestation, managed at a peripheral military hospital. • Gravida4: Four years back, transvaginal cerclage given, spontaneous abortion at 16 weeks gestation, ...

Objective: To review the use of transvaginal ultrasound for the diagnosis of placenta previa and recommend management based on accurate placental localization. Options: Transvaginal sonography (TVS) versus transabdominal sonography for the diagnosis of placenta previa; route of delivery, based on placenta edge to internal cervical os distance; in-patient versus out-patient antenatal care; cercl...

OBJECTIVE The purpose of this study was to compare the outcomes of pregnancy after transabdominal cerclage versus after transvaginal cerclage in patients with a failed transvaginal cerclage during a previous pregnancy. STUDY DESIGN MEDLINE and EMBASE were searched in English. We included studies that reported perinatal and/or maternal outcomes in women who had a transabdominal cerclage or a t...

Preterm delivery (PTD), defined as birth before 37 completed weeks of gestation, is the leading cause of perinatal morbidity and mortality. Evaluation of the cervical morphology and biometry with transvaginal ultrasonography at 16-24 weeks of gestation is a useful tool to predict the risk of preterm birth in low- and high-risk singleton pregnancies. For instance, a sonographic cervical length (...

Abdominal cerclage is necessary when the more commonly used transvaginal cerclage fails or anatomical abnormalities of the cervix preclude transvaginal placement. The disadvantage of an abdominal approach is that the patient can expect 2 laparotomies during her pregnancy, one for cerclage placement and the other associated with cesarean delivery. We report on an abdominal cerclage removed lapar...

OBJECTIVE To analyze the application of transabdominal sonography and transvaginal sonography in early diagnosis of pregnancy and to provide a reference for the selection of diagnosis methods in clinic. METHODS One hundred and eighty patients who were admitted into the hospital from February 2013 to February 2014, received clinical diagnosis and were confirmed as ectopic gestation by surgery ...