Abstract
Article: Cervical Cerclage: Does the Location of the Suture Placement Make a Difference?
Authors: Boris Petrikovsky, MD, PhD, Michael Terrani, MD, Steven Swancoat, DO, and Alison Dillon, RDMS
Category: OB/GYN [OB]
Credit: 0.5 SDMS CME Credit
Objectives: After studying the article titled “Cervical Cerclage: Does the Location of the Suture Placement Make a Difference?” you will be able to:
Gain understanding of cervical insufficiency and use of cervical cerclage
Review study methods, data, and results regarding cerclage placement in this cohort
Consider the importance of assessing cerclage location and directions for future research
What was an inclusion criterion of the participants in this study? Twin gestation No history of poor obstetrical outcome Emergency cerclage placement History-based cerclage due to cervical insufficiency
How was cervical length measured in this study? Transvaginal sonography, sagittal view, from internal to external os Transvaginal sonography, transverse view, from internal to external os Transvaginal sonography, sagittal view, from anterior to posterior wall Transabdominal sonography, transverse view, internal, to external os
Which type of cerclage was used in this study? Mersiline Shirodkar McDonald Abdominal
Randomized control trials have demonstrated that patients who have shortened cervical length in the second trimester and receive a cerclage versus patients who do not: Have the same rate of preterm birth Have an increased rate of preterm birth Have an increased rate of neonatal mortality Have a decreased rate of preterm birth
A proposed etiology of cervical insufficiency is: Long cervix Singleton pregnancy Mullerian anomaly Advanced maternal age
Footnotes