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Journal of Ultrasound in Medicine, Vol 9, Issue 5 275-278, Copyright © 1990 by American Institute of Ultrasound in Medicine

JOURNAL ARTICLE

Improving the outcome of cervical cerclage by sonographic follow-up

J. Rana, S. E. Davis and J. T. Harrigan
Department of Obstetrics and Gynecology, UMDNJ-Robert Wood Johnson Medical School, St. Peter's Medical Center, New Brunswick, New Jersey.

A total of 39 patients with the diagnosis of cervical incompetence were followed up with cervical sonography after placement of prophylactic McDonald cerclage. During the first year of study, 3 out of 12 patients treated with prophylactic cerclage demonstrated funneling of the internal cervical os when examined with cervical sonography; all 3 had premature deliveries. During the last 3 years of the study, 8 of 27 patients treated with prophylactic cerclage demonstrated funneling. With active intervention, neonatal survival improved to 100%. Sonography aids in the management of patients with cervical incompetence and improves outcome even after placement of cervical cerclage.




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Copyright © 1990 by the American Institute of Ultrasound in Medicine.