Emergency Cerclage in Singleton Pregnancies With Painless Cervical Dilatation: A Meta-analysis. Issue 3 (September 2021)

• Record Type: Journal Article
• Authors: Chatzakis, C.; Efthymiou, A.; Sotiriadis, A.; Makrydimas, G.
• Is Part Of: Obstetric anesthesia digest. Volume 41:Issue 3(2021)
• Publication Date: 2021-09
• Subjects: Obstetric complications -- Neonatal Morbidity and Mortality; Anesthesia in obstetrics -- Periodicals; Anesthesia in obstetrics -- Abstracts -- Periodicals; 617.968205
• DOI: 10.1097/01.aoa.0000766112.40123.45
• Languages: English
• ISSNs: 0275-665X

Abstract

Abstract : ( Acta Obstet Gynecol Scand . 2020;99:1444–1457) Cervical insufficiency in the second trimester has essentially 3 treatment options at the discretion of the clinician: expectant management, placement of a cervical pessary, and placement of cervical cerclage. These methods are typically used in addition to courses of antibiotics, additional prescriptions (ie, progesterone, corticosteroids), and bed rest. This meta-analysis aimed to compare emergency cerclage versus expectant management for maternal and perinatal outcomes, as well as to identify areas requiring additional or better-quality clinical evidence.