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Could a cervical occlusion suture be effective at improving perinatal outcome?
Article first published online: 11 APR 2007
DOI: 10.1111/j.1471-0528.2006.01247.x
RCOG 2007 BJOG An International Journal of Obstetrics and Gynaecology
Issue
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 114, Issue 5, pages 532–536, May 2007
Additional Information
How to Cite
Noori, M., Helmig, R., Hein, M. and Steer, P. (2007), Could a cervical occlusion suture be effective at improving perinatal outcome?. BJOG: An International Journal of Obstetrics & Gynaecology, 114: 532–536. doi: 10.1111/j.1471-0528.2006.01247.x
Publication History
- Issue published online: 11 APR 2007
- Article first published online: 11 APR 2007
- Accepted 8 December 2006.
- Abstract
- Article
- References
- Cited By
Keywords:
- Cervical cerclage;
- cervical incompetence;
- occlusion suture;
- preterm birth
Cervical weakness and infection have long been regarded as major causes of preterm birth. Cervical cerclage has been used extensively to reduce the risk of preterm birth arising as a result of cervical weakness, but increasing evidence suggests that the cervix plays more than just a mechanical role. Immunological function of the cervix and mucus plug is thought to be important in minimising the ingress of microbes, which can lead to chorioamnionitis and rupture of the amniotic membranes. In this review, we examine the background of traditional cervical cerclage and introduce the concept of the occlusion suture and its potential benefit in reducing the risk of recurrent preterm prelabour rupture of membranes.