Abstract
Emergency cerclage refers to a cerclage placed during the second trimester in a woman noted to have painless cervical dilation. Although randomized-controlled trials are limited, observational studies suggest an improvement in neonatal outcomes in selected patients undergoing an emergency cerclage. Labor and chorioamniontis are contraindications for cerclage placement. Advanced dilation (>3 to 4 cm) and a later gestational age (22 to 24 wk) are associated with poorer outcomes. This chapter reviews the indications, outcomes and perioperative management strategies for cerclage placement in this setting.
| Original language | English |
|---|---|
| Pages (from-to) | 286-294 |
| Number of pages | 9 |
| Journal | Clinical Obstetrics and Gynecology |
| Volume | 59 |
| Issue number | 2 |
| DOIs | |
| State | Published - 2016 |
| Externally published | Yes |
Keywords
- Emergency cerclage
- Emergent cerclage
- Physical-examination indicated cerclage