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

British journal of obstetrics and gynaecology, 91(8), 724-730

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

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

cervical cerclage randomized trial, cervical suture preterm delivery prevention, incompetent cervix cerclage outcomes, cervical insufficiency surgery effectiveness, cerclage gestational age prolongation, preterm birth prevention cerclage, cervical stitch late abortion prevention, cerclage versus expectant management, cervical incompetence surgical treatment, cerclage hospital admission complications, preterm labor cervical cerclage rct

Cite this article

Rush, R. W., Isaacs, S., McPherson, K., Jones, L., Chalmers, I., & Grant, A. (1984). A randomized controlled trial of cervical cerclage in women at high risk of spontaneous preterm delivery. *British journal of obstetrics and gynaecology*, *91*(8), 724-730. https://doi.org/10.1111/j.1471-0528.1984.tb04840.x

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