%0 Journal Article
%T Cerclaje profil¨¢ctico en mujeres con nacimientos prematuros espont¨¢neos previos, asociados con infecci¨®n bacteriana ascendente
%A Ovalle S
%A Alfredo
%A Valderrama C
%A Oscar
%A Rencoret P
%A Gustavo
%A Fuentes G
%A Ariel
%A del R¨ªo V
%A Mar¨ªa Jos¨¦
%A Kakarieka W
%A Elena
%A Mart¨ªnez T
%A Mar¨ªa Ang¨¦lica
%A Pizarro S
%A Dagoberto
%J Revista chilena de obstetricia y ginecolog¨ªa
%D 2012
%I Scientific Electronic Library Online
%R 10.4067/S0717-75262012000200004
%X aims: determine the effectiveness of prophylactic cerclage in women with singleton pregnancies, cervix >25 mm and a history of spontaneous premature deliveries associated to ascending bacterial infection (abi). methods: women with singleton pregnancies and history of preterm births, with no fullterm deliveries, associated to abi. cases with >25 mm cervical length at admission were included. cervical cerclage performed on patients derived before 20 weeks of pregnancy was compared to the expectant management of women submitted at a later gestational stage with sustained cervical length of >25 mm. pregnant women with <25 mm cervix at referral, with cervical shortening <25 mm at expectant management, and women with previous preterm birth without placental histology were excluded. results: 51 patients were included, 23 with cerclage and 28 without cerclage. prophylactic cerclage significantly reduced the frequency of premature birth <37 weeks, 4.3% vs 35.7% and <34 weeks, 4.3 % vs 28.6 % and histologic chorioamnionitis 4.3% vs 32.1% (9/28), or (95%ci) 0.08 (0.09-0.70), 0.11(0.01-0.99) and 0.01 (0.01-0.83), respectively. conclusions: in patients with preterm births associated to abi, singleton pregnancy and cervical length >25 mm, prophylactic cerclage reduces the frequency of premature delivery <37 and <34 weeks as well as histologic chorioamnionitis.
%K cerclage
%K preterm birth
%K ascending bacterial infection
%K histologic chorioamnionitis.
%U http://www.scielo.cl/scielo.php?script=sci_abstract&pid=S0717-75262012000200004&lng=en&nrm=iso&tlng=en