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Clinical and Experimental Obstetrics & Gynecology  2016, Vol. 43 Issue (5): 708-712    DOI: 10.12891/ceog2120.2016
Original Research Previous articles | Next articles
Does amnioreduction increase success of emergency cervical cerclage in cases with advanced cervical dilatation and protruding membranes?
Y. Cakiroglu1, *(), E. Doger1, S. Yildirim Kopuk1, A. Gunlemez2, D. Oguz2, E. Caliskan1
1Department of Obstetrics and Gynecology, Kocaeli University, Kocaeli
2Department of Neonatology, Kocaeli University, Kocaeli (Turkey)
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Abstract  
Objective: To investigate whether amnioreduction has any impact on emergency cervical cerclage outcome. Materials and Methods: Data of women who underwent emergency cervical cerclage for advanced cervical dilatation and protruding membranes were analyzed retrospectively. Results: During the study interval, a total of 56 women who were underwent amnioreduction (n=26) and who did not (n=30) were eligible for analysis of the study. Gestational age at cerclage, delivery, and prolongation of pregnancy interval were comparable between the groups (21.3 ± 3.3 vs. 20.6 ± 3.1 weeks; p = 0.44; 28.3 ± 6.1 vs. 28.1 ± 5.6 weeks; p = 0.74; 53.7 ± 46.1 vs. 47.3 ± 36.7 days; p = 0.56 respectively). Number of live birth rates and perinatal mortality rates were also not statistically significantly different between the groups (73.1% vs. 70.0%; p = 0.80; 15.4% vs. 13.3%; p = 0.83). Conclusions: Emergency cerclage yields live take home baby rates in more than half of the patients. The decision to perform amnioreduction should be based on suspicion of chorioamnionitis and patient’s motivation to know exactly what is the risk of chorioamnionitis.
Key words:  Emergency cerclage      Pregnancy outcome      Neonatal outcome      Amnioreduction     
Published:  10 October 2016     
*Corresponding Author(s):  Y. CAKIROGLU     E-mail:  dryigit1@yahoo.com

Cite this article: 

Y. Cakiroglu, E. Doger, S. Yildirim Kopuk, A. Gunlemez, D. Oguz, E. Caliskan. Does amnioreduction increase success of emergency cervical cerclage in cases with advanced cervical dilatation and protruding membranes?. Clinical and Experimental Obstetrics & Gynecology, 2016, 43(5): 708-712.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog2120.2016     OR     https://ceog.imrpress.com/EN/Y2016/V43/I5/708

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