Recent Change in the Incidence of Cervical Cerclage

Conclusions: More selective indications for cervical cerclage based on recent randomized studies were associated with decreased cerclage placement. The decrease in incidence of history-indicated cerclage may be due to the fact that more women with prior PTB are being followed by transvaginal cervical length measurements. The decrease in incidence of ultrasound-indicated cerclage may be due to the use of 17-hydroxy progesterone caproate in women with PTB

Prior ultrasound-indicated cerclage: what should the management be in next pregnancy?

Abstract Objective: To evaluate pregnancy outcomes of women with prior history of ultrasound-indicated cerclage (UIC) for short cervix who in subsequent pregnancy either were followed by transvaginal ultrasound cervical length(TVU CL)screening or received a history-indicated cerclage (HIC). Materials and Methods: Retrospective cohort study was performed from 1993-2012, involving women with an index singleton pregnancy and history of UIC. Prior UIC was defined as cerclage placed for CLinstitution, women with prior history of UIC were managed in their subsequent pregnancy either by TVU CL screening or by HIC, at the physician\u27s discretion(Figure). In the TVU CL group, if CL became24wks, an UIC was performed. In the HIC group, HIC was placed around 12-15wks. Primary outcome was spontaneous PTB (sPTB) at \u3c35wks. Results: 28 women met the inclusion criteria. Of these 28 women, 13 were in TVU CL group and 15 in HIC group. Demographics were similar in both the groups, except earliest GA of prior sPTB (Table). The odds of sPTB(OR 0.54, 95%CI 0.04-6.77). Secondary outcomes were also similar in two groups except birth weight (Table). Conclusion: Women with prior UIC have similar outcomes if they are managed in the next pregnancy by either TVU CL screening and UIC placement if CL is24wks, or by HIC. Our study results are limited by small sample size. There are currently no other studies evaluating this clinical dilemma

Association Between ABO Blood Type and Postpartum Hemorrhage by Mode of Delivery: A Retrospective Cohort Study

Background Patients with type O blood have been reported to have more bleeding complication than those of other pooled blood groups (OR 1.33) Prior studies on postpartum hemorrhage by blood type Yielded mixed results Did not separate by mode of deliveryhttps://jdc.jefferson.edu/obgynposters/1012/thumbnail.jp