Journal of Ultrasound in Medicine · 1990 · 29 citations · 0 references
MedicineGynecologyObstetricsCervical DiseaseReproductive MedicineReproductive UltrasonographyCervical AnatomyCervical CerclageCervical DisordersCervical ImagingCervical UltrasonographyCervical UltrasoundCervical Cerclage EfficacyMcdonald CerclageNeonatal Survival AnalysisPregnancy Outcomes After CerclageProphylactic Cerclage
The study aims to determine whether sonographic monitoring after cervical cerclage improves management and neonatal outcomes in patients with cervical incompetence. The authors followed 39 cervical‑incompetence patients with cervical sonography after placing prophylactic McDonald cerclage. During the first year, 3 of 12 patients showed funneling and all delivered prematurely; over the next three years, 8 of 27 showed funneling, and active intervention led to 100 % neonatal survival.
A total of 39 patients with the diagnosis of cervical incompetence were followed up with cervical sonography after placement of prophylactic McDonald cerclage. During the first year of study, 3 out of 12 patients treated with prophylactic cerclage demonstrated funneling of the internal cervical os when examined with cervical sonography; all 3 had premature deliveries. During the last 3 years of the study, 8 of 27 patients treated with prophylactic cerclage demonstrated funneling. With active intervention, neonatal survival improved to 100%. Sonography aids in the management of patients with cervical incompetence and improves outcome even after placement of cervical cerclage.