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Cerclage for the Management of Cervical Insufficiency

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Obstetrics Essentials

Abstract

Cervical insufficiency is commonly described as painless cervical dilation with subsequent delivery. Cerclages may be placed in three distinct settings: history-indicated, ultrasound-indicated, and physical examination-indicated. Cerclages are most commonly placed vaginally, however, abdominal cerclages may be needed if a vaginal approach is not possible or if the patient has a history of failed vaginal cerclage [1].

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  1. Gabbe SG, Niebyl JR, Simpson JL, Landon MB, Galan HL, Jauniaux ERM, Driscoll DA. Obstetrics: normal and problem pregnancies. Chapter 27. 6th ed. Philadelphia, PA: Elsevier; 2012.

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  2. American College of Obstetricians and Gynecologists. Practice bulletin no. 142: cerclage for the management of cervical insufficiency. Obstet Gynecol. 2014;123:372–9.

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Arnold, K.C., Flint, C.J. (2017). Cerclage for the Management of Cervical Insufficiency. In: Obstetrics Essentials. Springer, Cham. https://doi.org/10.1007/978-3-319-57675-6_27

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  • DOI: https://doi.org/10.1007/978-3-319-57675-6_27

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-57674-9

  • Online ISBN: 978-3-319-57675-6

  • eBook Packages: MedicineMedicine (R0)

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