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  Case #808 - CERCLAGE FOR CERVICAL INSUFFICIENCY

PeriFACTS
Case #808
TOPIC: CERCLAGE FOR CERVICAL INSUFFICIENCY
Editor-in-Chief:
James R. Woods, Jr., M.D.
Associate Editors:
Kathryn Flynn, R.N.C., M.S.N.P.
J. Christopher Glantz, M.D.
Deborah Pittinaro, R.N.C., M.S.N.P.


Not adapted Original English Version!

Learning Objectives for PeriFACTS Case #808:
Upon completion, the learner will be able to:

  • Describe the clinical presentation and three associated sonographic findings of an insufficient cervix.
  • List three treatment modalities for insufficient cervix, including their advantages, risks, and effectiveness.
  • State the circumstances under which cerclage should be removed.

INTRODUCTION

Preterm delivery complicates 12% of deliveries in the United States and is the leading cause of perinatal mortality. There are many causes of preterm birth. About 25% are intentional (indicated) for medical, obstetric, or fetal conditions, while 75% are spontaneous. Of spontaneous preterm deliveries, some are associated with infection, premature rupture of membranes, multiple gestation, or occur for unclear reasons (“idiopathic”). In a relatively small number of cases, early delivery occurs because ...
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