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ISSN 0187-5337 (Print)
Instituto Nacional de Perinatología

2001, Number 3

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Perinatol Reprod Hum 2001; 15 (3)

Cerclaje de urgencia: experiencia institucional

Menocal-Tobías G, Herrerías-Canedo T, Neri-Méndez C

Language: Spanish
References: 28
Page: 188-194
PDF size: 129.45 Kb.


ABSTRACT

Introduction: The objective was to determine the prevalence in our means and to analyze the effectiveness of the procedure in the newborn result.
Material and methods: We were carried out the evaluation of 87 cases with cerclage of urgency, applied and solved in the INPer of January from 1998 to January of the 2001; with an observational, descriptive and retrospective study.
Results: The neonatal survival was 86%, having used in most of the cases the technical Modified Espinosa-Flores (70%) vs. McDonald. The complications were smaller, prevailing the urinary and genital infection; as long as the opposing averages were: placement 19 ± 2, retire 34.6 ± 5, resolution 35.1 ± 5 weeks and won weeks 16 ± 6. The cervical enfacement was the factor of more important risk for the preterm childbirth OR 3.9 (95%, CI 1.30-11.81).
Conclusions: The opposing prevalence was low; however clinical evidence exists in favor of the utility of the cerclage of urgency in our means, given the high neonatal survival and low maternal-fetal morbility and mortality.


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