{
    "abstract": "This study was undertaken to review pregnancy course and outcome in 56 pregnancies after the placement of a cervicoisthmic cerclage transvaginally.\nFifty-three pregnant patients with unique indications such as previous failure of conventional cerclages or compromised cervical anatomy, underwent transvaginal placement of a cervicoisthmic cerclage during pregnancy.\nThere was 100% fetal survival. Preterm birth rate was 32% and births at less than 30 weeks occurred in 21% of our patients. In 6 patients, the suture was not removed and 3 patients had an additional gestation with the same suture. Serious complications included 1 instance of intraoperative bladder laceration and 1 of intrapartum cervical tear. Minor complications included a postoperative hematoma and transient urinary retention with pelvic pain in 2 patients.\nThe placement of transvaginal cervicoisthmic cerclage was associated with favorable pregnancy outcome and may be considered as a suitable safe alternative to the transabdominal cerclage.",
    "authors": [
        {
            "affiliation": "Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, California Pacific Medical Center, San Francisco, 94118, USA. Katzmi@sutterhealth.org",
            "firstname": "Michael",
            "initials": "M",
            "lastname": "Katz"
        },
        {
            "affiliation": null,
            "firstname": "Carol",
            "initials": "C",
            "lastname": "Abrahams"
        }
    ],
    "conclusions": "The placement of transvaginal cervicoisthmic cerclage was associated with favorable pregnancy outcome and may be considered as a suitable safe alternative to the transabdominal cerclage.",
    "copyrights": null,
    "doi": "10.1016/j.ajog.2005.02.127",
    "journal": "American journal of obstetrics and gynecology",
    "keywords": [],
    "methods": null,
    "publication_date": "2005-06-23",
    "pubmed_id": "15970870",
    "results": "There was 100% fetal survival. Preterm birth rate was 32% and births at less than 30 weeks occurred in 21% of our patients. In 6 patients, the suture was not removed and 3 patients had an additional gestation with the same suture. Serious complications included 1 instance of intraoperative bladder laceration and 1 of intrapartum cervical tear. Minor complications included a postoperative hematoma and transient urinary retention with pelvic pain in 2 patients.",
    "title": "Transvaginal placement of cervicoisthmic cerclage: report on pregnancy outcome.",
    "xml": "<Element 'PubmedArticle' at 0x78850427f920>"
}