Chapter 60. Cervical Incompetence

  1. John T. Queenan MD Professor Chairman Emeritus2,
  2. John C. Hobbins MD Professor of Obstetrics3 and
  3. Catherine Y. Spong MD Chief4
  1. Wendy F. Hansen MD

Published Online: 30 APR 2009

DOI: 10.1002/9781444312904.ch60

Protocols for High-Risk Pregnancies, Fourth Edition

Protocols for High-Risk Pregnancies, Fourth Edition

How to Cite

Hansen, W. F. (2005) Cervical Incompetence, in Protocols for High-Risk Pregnancies, Fourth Edition (eds J. T. Queenan, J. C. Hobbins and C. Y. Spong), Blackwell Publishing Ltd., Oxford, UK. doi: 10.1002/9781444312904.ch60

Editor Information

  1. 2

    Department of Obstetrics and Gynecology, Georgetown University School of Medicine, 3257 N Street NW, Washington, DC 20007, USA

  2. 3

    University of Colorado Health Sciences Center, Department of Obstetrics and Gynecology, 4200 East 9th Avenue, B-198, Denver, CO 80262, USA

  3. 4

    National Institute of Child Health and Human Development, Center for Developmental Biology and Perinatal Medicine, Pregnancy and Perinatology Branch, National Institutes of Health, 6100 Executive Bivd, Bethesda, MD 20892-7510, USA

Author Information

  1. University of Kentucky Chandler Medical Center, 800 Rose Street, Department of Obstetrics and Gynecology, Room C-358, Lexington, KY 40536-0293, USA

Publication History

  1. Published Online: 30 APR 2009
  2. Published Print: 9 SEP 2005

ISBN Information

Print ISBN: 9781405125796

Online ISBN: 9781444312904

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Keywords:

  • cervical incompetence;
  • risk factors for cervical incompetence - multifetal gestation, Mullerian anomalies, DES exposure;
  • inverse relationship between length of cervix and preterm birth frequency;
  • cause of shortened cervix - inflammation, infection, decidual hemorrhage;
  • transvaginal procedures - McDonald cerclage/Shirodkar cerclage;
  • emergent therapeutic cerclage;
  • techniques to reduce membranes - maternal Trendelenburg position, filling bladder through a Foley catheter

Summary

This chapter contains sections titled:

  • Background

  • Incidence

  • Diagnosis

  • Elective Cerclage

  • Urgent Cerclage

  • Emergent Cerclage

  • Technique of Cerclage

  • Emergency Cerclage

  • Abdominal Cerclage

  • Cerclage Outcomes

  • Follow-up

  • Conclusions

  • References