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Prior Ultrasound-Indicated Cerclage: What Should The Management Be In Next Pregnancy?, Anju Suhag, Md, Jordana Reina, Md, Laura Sanapo, Md, Maria Giraldo, Sushma Potti, Md, Vincenzo Berghella, Md
Prior Ultrasound-Indicated Cerclage: What Should The Management Be In Next Pregnancy?, Anju Suhag, Md, Jordana Reina, Md, Laura Sanapo, Md, Maria Giraldo, Sushma Potti, Md, Vincenzo Berghella, Md
Department of Obstetrics and Gynecology Presentations and Grand Rounds
Abstract
Objective: To evaluate pregnancy outcomes of women with prior history of ultrasound-indicated cerclage (UIC) for short cervix who in subsequent pregnancy either were followed by transvaginal ultrasound cervical length(TVU CL)screening or received a history-indicated cerclage (HIC).
Materials and Methods: Retrospective cohort study was performed from 1993-2012, involving women with an index singleton pregnancy and history of UIC. Prior UIC was defined as cerclage placed for CLinstitution, women with prior history of UIC were managed in their subsequent pregnancy either by TVU CL screening or by HIC, at the physician's discretion(Figure). In the TVU CL group, if CL became24wks, an …