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dc.contributor.authorAdes, Alex-
dc.contributor.authorParghi, Sneha-
dc.contributor.authorAref-Adib, Mehrnoosh-
dc.identifier.citationAust N Z J Obstet Gynaecol. 2018 Dec;58(6):606-611en_US
dc.description.abstractBackground: Cervical insufficiency is a significant cause of morbidity and mortality. Cervical cerclage is one option in the management of cervical insufficiency. Aim: To evaluate obstetric outcomes following insertion of a pre‐pregnancy laparoscopic transabdominal cerclage in women at high risk for pre‐term labour and/or mid‐trimester pregnancy loss. Methods: A prospective observational study of consecutive women who underwent laparoscopic transabdominal cerclage from 2007 to 2017. Eligible women had a diagnosis of cervical insufficiency based on previous obstetric history and/or a short or absent cervix and were considered not suitable for a transvaginal cerclage. The primary outcome was neonatal survival and the secondary outcome was delivery of an infant at ≥34 weeks gestation. Surgical morbidity and complications were also evaluated. Results: During the study period, 225 women underwent laparoscopic transabdominal cerclage. We present the outcomes of 121 pregnancies resulting in 125 babies. The perinatal survival rate of viable pregnancies was 98.5% with a mean gestational age at delivery of 35.2 weeks; 79.7% of babies were delivered at ≥34.0 weeks gestation. Conclusion: Laparoscopic transabdominal cerclage is a safe and effective procedure resulting in favourable obstetric outcomes in women with a poor obstetric history. For optimal success the procedure requires the correct surgical expertise, equipment and appropriate patient selection.en_US
dc.publisherBlackwell Publishingen_US
dc.subjectPre‐Pregnancy Laparoscopic Transabdominal Cerclageen_US
dc.subjectCervical Insufficiencyen_US
dc.subjectPreterm Birthen_US
dc.subjectCervical Cerclageen_US
dc.subjectPre‐Term Labouren_US
dc.subjectMid‐Trimester Pregnancy Lossen_US
dc.subjectNeonatal Survivalen_US
dc.subjectSurgical Morbidityen_US
dc.subjectAgora Centre for Women's Health, Epworth HealthCare VIC, Australiaen_US
dc.titleLaparoscopic transabdominal cerclage: outcomes of 121 pregnancies.en_US
dc.typeJournal Articleen_US
dc.identifier.doidoi: 10.1111/ajo.12774en_US
dc.identifier.journaltitleThe Australian & New Zealand journal of Obstetrics & Gynaecologyen_US
dc.description.affiliatesDepartment of Obstetrics and Gynaecology, Royal Women's Hospital, University of Melbourne, Australiaen_US
dc.type.studyortrialObservational Studyen_US
Appears in Collections:Obstetrics & Gynaecology

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