Preterm Prelabour Rupture of Membranes With Cervical Cerclage: A Review of Perinatal Outcomes With Cerclage Retention |
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| Authors: | Jennifer Walsh Victoria M Allen Donald Colford Alexander C Allen |
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| Institution: | 1. Department of Obstetrics and Gynaecology, Dalhousie University, Halifax NS;2. Perinatal Epidemiology Research Unit, IWK and Dalhousie University, Halifax NS;3. Department of Pediatrics, Dalhousie University, Halifax NS;1. University of Puerto Rico Comprehensive Cancer Center, PMB 711 Ave. 89 Ste. 105, San Juan, P.R. 00927-6346;2. VA Caribbean Healthcare System Casia # 10 San Juan, P.R. 00921-3201;3. University of Puerto Rico School of Medicine PO Box 365067 San Juan, P.R. 00936-5067;4. University of Puerto Rico Graduate School of Public Health PO Box 365067 San Juan, P.R., 00936-5067 |
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| Abstract: | Cervical cerclage may be indicated in specific clinical situations in an attempt to reduce the risk of preterm delivery. Preterm prelabour rupture of membranes (PPROM) occurs sometimes in the presence of a cerclage, and these pregnancies are at substantial risk of adverse maternal, fetal, and neonatal outcomes that may be attributed to complications associated with infectious morbidity and preterm birth. The benefits of retaining a cerclage in situ with ruptured membranes are unclear. This systematic review identified studies estimating maternal and perinatal morbidity and mortality associated with pregnancies with cerclage complicated by PPROM, in order to clarify the consequences of cerclage retention. |
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