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OB: Cerclage For Short CervixFrom: art fougner, md (evsono@pipeline.com)Fri Jun 4 06:40:21 2004
>From "The Lancet" The future of cervical suture 'The insertion of a Shirodkar suture in women with a short cervix does not substantially reduce the risk of early preterm delivery' Cervical cerclage has been widely used to prevent preterm birth and its associated neonatal mortality and morbidity. Meekai To and colleagues aimed to test the hypothesis that cervical cerclage in women with a short cervix is associated with a three-fold reduction in early preterm delivery. Although routine transvaginal sonographic measurement of cervical length at 22-24 weeks' gestation identifies a group at high risk of early preterm delivery, the investigators conclude that insertion of a Shirodkar suture in such women does not substantially reduce the risk of prematurity. Lancet Volume 363, Number 9424 05 June 2004 Cervical cerclage for prevention of preterm delivery in women with short cervix: randomised controlled trial Meekai S To, Zarko Alfirevic, Victoria C F Heath, Simona Cicero, Ana Maria Cacho, Paula R Williamson, Kypros H Nicolaides, on behalf of the Fetal Medicine Foundation Second Trimester Screening Group* art
-- art fougner, md ich bin ein New Yorker
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