PubMed · 1990 · 205 citations · 0 references
MedicineGynecologyObstetricsObstetric SurgeryPreterm BirthReproductive MedicineCervical CerclageCervical InsufficiencyLabor PhysiologyLabor ProgressPreterm LaborUterine ContractilityLabor Contraction AssessmentLabor Progress MonitoringPregnancy Outcomes After CerclageTerm Labor ContractionsUterine Activity AssessmentUterine Activity MonitoringUterine Contraction AssessmentUterine Contraction Patterns
Cervical cerclage is the standard treatment for cervical incompetence, yet uterine activity in these patients has not been previously examined. The study retrospectively reports contraction frequency in 96 cerclage patients monitored daily at home. Contraction frequency was assessed through daily home uterine activity monitoring. Twenty‑three percent of patients developed preterm labor and 12% delivered preterm due to failed tocolysis or membrane rupture, with higher uterine activity preceding preterm labor, highlighting the clinical importance of monitoring.
Cervical cerclage is the traditional management of cervical incompetence. Uterine activity among these patients has never been studied. This retrospective report details the contraction frequency in 96 patients with cerclage who underwent daily home uterine activity monitoring. Twenty-three percent (22) developed preterm labor and 12% (11) had preterm delivery related to failed tocolysis or rupture of the membranes. Uterine activity in the group who developed preterm labor was significantly greater than in those who labored at term. The objective contraction frequency data obtained by uterine activity monitoring are of clinical significance to physicians managing such patients.