1256
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Triplet pregnancies lead to high morbidity, in this case 100% caesarean section between 30 and 34 weeks and a record postpartum haemorrhage rate (25%).

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Zanconato G, Poggi S, Ruffo R, Gazzoni A, Padovani EM, Franchi M. (2005)

Antepartum management and neonatal outcome of triplet pregnancies. Archives of Gynecology and Obstetrics 271(4): 320-324. ➡ Display this record
➡ cerclage ; c-section/caesarean ; evidence-based medicine/midwifery ; premature baby ; guidelines ; maternal age ; postpartum hemorrhage ; eclampsia (pre-) ; low birth weight ; multiple pregnancy ; maternal death rate ; IVF in vitro fertilisation ; informed consent

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3027

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Serial transvaginal ultrasound surveillance of cervical length in women at high risk of preterm delivery appears to reduce cerclage rates without compromising pregnancy outcome.

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Katie M. Groom, Phillip R. Bennetta, Monali Golara, Angeli Thalon, Andrew H. Shennan (2004)

Elective cervical cerclage versus serial ultrasound surveillance of cervical length in a population at high risk for preterm delivery. European Journal of Obstetrics & Gynecology and Reproductive Biology. Volume 112, Issue 2, 10 February 2004, Pages 158-161 ➡ Display this record
➡ cerclage ; premature baby ; guidelines ; morbidity ; informed consent

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420

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The insertion of a Shirodkar suture in women with a short cervix does not substantially reduce the risk of early preterm delivery.

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Meekai S To, Prof Zarko Alfirevic, Victoria CF Heath, Simona Cicero, Ana Maria Cacho, Paula R Williamson, Prof Kypros H Nicolaides, MRCOG (2004)

Cervical cerclage for prevention of preterm delivery in women with short cervix: randomised controlled trial. The Lancet 2004;363(9424):1849-53. ➡ Display this record
➡ cerclage ; premature baby ; guidelines ; morbidity ; informed consent

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378
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Simultaneous intraoperative ultrasonography and uterine vessel transillumination simplified suture placement during abdominal cerclage, and reduced the amount of dissection and bleeding.

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Olatunbosun O, Turnell R, Pierson R. (2003)

Transvaginal sonography and fiberoptic illumination of uterine vessels for abdominal cervicoisthmic cerclage. Obstetrics & Gynecology 2004;102(5):1130-1133. ➡ Display this record
➡ cerclage ; premature baby ; guidelines ; morbidity ; informed consent

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365

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The length of the cervix below the level of cerclage is not related to duration of pregnancy in women treated with cerclage because of ultrasound evidence of cervical effacement.

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Rust OA, Atlas RO, Meyn J, Wells M, Kimmel S. (2003)

Does cerclage location influence perinatal outcome? American Journal of Obstetrics and Gynecology 2003;189(6):1688-1691. ➡ Display this record
➡ cerclage ; premature baby ; guidelines ; ultrasound scanning ; dilation ; informed consent

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364

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The available evidence does not support cerclage for a sonographically detected short cervix.

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Belej-Rak T, Okun N, Windrim R, Ross S, Hannah ME. (2003)

Effectiveness of cervical cerclage for a sonographically shortened cervix: A systematic review and meta-analysis. American Journal of Obstetrics and Gynecology 2003;189(6):1679-1687. ➡ Display this record
➡ cerclage ; evidence-based medicine/midwifery ; premature baby ; guidelines ; maternal age ; screening ; ultrasound scanning ; morbidity ; perinatal death rates ; informed consent

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