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Re: OB:Cervical CerclageFrom: Tomihiro Shimamoto (tomshim@miyazaki.med.or.jp)Thu Feb 26 07:14:52 1998
At 2:20 AM -0600 98.2.26, dagriff@pacbell.net wrote: > Dear List members: > > Advice wanted: 26 y/o G2P1001 at 9 weeks gestation with a prior history > of cold knife conization and prophylactic cerclage performed during her > last pregnancy at 14 weeks because, per the patient, "Cerclage after > cervical conization was the protocol at this HMO." Patient had the > cerclage removed and delivered uneventfully and had to be induced. > Patient is now asking me, "Do I have to have a cerclage this pregnancy?" > > What is your criteria for prophylactic cerclage after conization? > > Do you measure the cervix transvaginally? > > What do you advise patients as the risk of incompetent cervix after cold > knife conization? > I prefer cerclage. See below literature Obstet Gynecol 90:978-982,1997 Duration of pregnancy after carbon dioxide laser conization of the cervix: Influence of cone height. Obstet Gynecol 77:3115-317,1991 Cone cerclage in pregnancy. $BEhK\!!IYGn(J $B8)N)5\:jIB1!;:IX?M2J(J E-mail tomshim@miyazaki.med.or.jp $BIB1!$N%[!<%`%Z!<%8!!(J<http://www.miyazaki-nw.or.jp/miyazaki-hp/>
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