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Suture type and ultrasound-indicated cerclage efficacy
| Content Provider | Scilit |
|---|---|
| Author | Berghella, Vincenzo Szychowski, Jeff M. Owen, John Hankins, Gary Iams, Jay D. Sheffield, Jeanne S. Perez-Delboy, Annette Wing, Deborah A. Guzman, Edwin R. |
| Copyright Year | 2012 |
| Description | Objective: To assess whether type of suture material affects cerclage efficacy for preterm birth (PTB) prevention. Methods: Secondary analysis of a multicenter trial of ultrasound-indicated cerclage for short cervical length (CL), in which women with prior spontaneous PTB at 16–33 6/7 weeks, a singleton gestation and CL < 25 mm between 16–22 6/7 weeks, were randomized to McDonald cerclage or no cerclage. Outcomes of women who underwent cerclage were analyzed by type of suture material, comparing polyester braided thread (Mersilene™ or Ethibond™) to Mersilene tape™. Primary outcome was PTB < 35 weeks. Results: 138 women underwent McDonald cerclage: 84 (61%) received polyester braided thread and 46 (33%) Mersilene tape™. Eight (6%) received monofilament suture and were excluded from analysis. Rates of PTB < 35 weeks were similar, 35% for polyester braided thread vs 24% for Mersilene tape™ (p = .24). Birth gestational age was also similar among the 2 groups (p = .18). Conclusion: Type of suture material may not affect ultrasound-indicated cerclage efficacy in high-risk women with short CL, but further study is needed. Polyester braided thread (Mersilene™ or Ethibond™) and polyester braided Mersilene tape™ seem to have similar efficacy. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5809126/pdf https://www.tandfonline.com/doi/pdf/10.3109/14767058.2012.688081 |
| Ending Page | 2290 |
| Page Count | 4 |
| Starting Page | 2287 |
| ISSN | 14767058 |
| e-ISSN | 14764954 |
| DOI | 10.3109/14767058.2012.688081 |
| Journal | The Journal of Maternal-Fetal & Neonatal Medicine |
| Issue Number | 11 |
| Volume Number | 25 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2012-05-14 |
| Access Restriction | Open |
| Subject Keyword | Journal: The Journal of Maternal-fetal & Neonatal Medicine Obstetrics and Gynecology Cerclage Suture Preterm Birth Prevention Short Cervical Length |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pediatrics, Perinatology and Child Health Obstetrics and Gynecology |