Abdominal Cerclage in Twin Pregnancy after Radical Surgical Conization
Radical and repeated cone biopsies are associated with a high risk of spontaneous preterm birth. A 30-year-old gravida 1 presented with a spontaneous dichorionic twin pregnancy. She had a history of two radical surgical conizations. By speculum examination, no cervical tissue was detected. A history...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2014/519826 |
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| author | Ioannis Kyvernitakis Fred Lotgering Birgit Arabin |
| author_facet | Ioannis Kyvernitakis Fred Lotgering Birgit Arabin |
| author_sort | Ioannis Kyvernitakis |
| collection | DOAJ |
| description | Radical and repeated cone biopsies are associated with a high risk of spontaneous preterm birth. A 30-year-old gravida 1 presented with a spontaneous dichorionic twin pregnancy. She had a history of two radical surgical conizations. By speculum examination, no cervical tissue was detected. A history-indicated transabdominal cervicoisthmic cerclage was performed at 12 + 4/7 gestational weeks because of assumed cervicoisthmic insufficiency. The pregnancy continued until 34 + 3/7 weeks when the patient developed preeclampsia indicating Cesarean delivery. Transabdominal cerclage in twin pregnancy has rarely been described, but it may be considered in case of extreme cervical shortening after radical cervical surgery, as it would in singleton pregnancy. |
| format | Article |
| id | doaj-art-8a80f005fd3b40578f50af7b94bdc059 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-8a80f005fd3b40578f50af7b94bdc0592025-02-03T01:04:53ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/519826519826Abdominal Cerclage in Twin Pregnancy after Radical Surgical ConizationIoannis Kyvernitakis0Fred Lotgering1Birgit Arabin2Department of Prenatal and Perinatal Medicine, Clara Angela Foundation, Koenigsallee 36, 14193 Berlin, GermanyDepartment of Obstetrics and Gynecology, Radboudumc, Geert Grooteplein 10, 6525 GA Nijmegen, The NetherlandsDepartment of Prenatal and Perinatal Medicine, Clara Angela Foundation, Koenigsallee 36, 14193 Berlin, GermanyRadical and repeated cone biopsies are associated with a high risk of spontaneous preterm birth. A 30-year-old gravida 1 presented with a spontaneous dichorionic twin pregnancy. She had a history of two radical surgical conizations. By speculum examination, no cervical tissue was detected. A history-indicated transabdominal cervicoisthmic cerclage was performed at 12 + 4/7 gestational weeks because of assumed cervicoisthmic insufficiency. The pregnancy continued until 34 + 3/7 weeks when the patient developed preeclampsia indicating Cesarean delivery. Transabdominal cerclage in twin pregnancy has rarely been described, but it may be considered in case of extreme cervical shortening after radical cervical surgery, as it would in singleton pregnancy.http://dx.doi.org/10.1155/2014/519826 |
| spellingShingle | Ioannis Kyvernitakis Fred Lotgering Birgit Arabin Abdominal Cerclage in Twin Pregnancy after Radical Surgical Conization Case Reports in Obstetrics and Gynecology |
| title | Abdominal Cerclage in Twin Pregnancy after Radical Surgical Conization |
| title_full | Abdominal Cerclage in Twin Pregnancy after Radical Surgical Conization |
| title_fullStr | Abdominal Cerclage in Twin Pregnancy after Radical Surgical Conization |
| title_full_unstemmed | Abdominal Cerclage in Twin Pregnancy after Radical Surgical Conization |
| title_short | Abdominal Cerclage in Twin Pregnancy after Radical Surgical Conization |
| title_sort | abdominal cerclage in twin pregnancy after radical surgical conization |
| url | http://dx.doi.org/10.1155/2014/519826 |
| work_keys_str_mv | AT ioanniskyvernitakis abdominalcerclageintwinpregnancyafterradicalsurgicalconization AT fredlotgering abdominalcerclageintwinpregnancyafterradicalsurgicalconization AT birgitarabin abdominalcerclageintwinpregnancyafterradicalsurgicalconization |