Type of Surgery
Information
Last updated: 02/17/2009
BOOKS
Enkin, Murray, et al. A Guide to Effective Care in Pregnancy and Childbirth, 3rd ed. Oxford: Oxford University Press, 2000.
PERIODICALS
Goldenberg, Robert L. "The Management of...
Preterm Labor."Obstetrics & Gynecology 100, no. 5 (November 2002): 1020–37.
MacDonald, Hugh. "Perinatal Care at the Threshold of Viability."American Academy of Pediatrics 110, no. 5 (November 2002): 1024–7.
Matijevic, Ratko, Branka Olujic, Jasua Tumbri, and Asim Kurjak. "Cervical Incompetence: The Use of Selective and Emergency Cerclage."Journal of Perinatal Medicine 29 (2001): 31–5.
Weismiller, David G. "Preterm Labor."American FamilyPhysician February 1, 1999: 593–604.
ORGANIZATIONS
American Academy of Family Physicians. 8880 Ward Parkway, Kansas City, MO 64114. (816) 333-9700.
American Board of Obstetrics and Gynecology. 2915 Vine Street, Dallas, TX 75204. (214) 871-1619.
American College of Obstetricians and Gynecologists. 409 12th St., SW, PO Box 96920, Washington, DC 20090-6920.
OTHER
Bernstein, Peter S. "Controversies in Obstetrics: Cervical Cerclage."Third World Congress on Controversies in Obstetrics, Gynecology, and Infertility. 2002 [cited March 1, 2003].
Pincock, Stephen. "Cervical Cerclage Associated with Good Pregnancy Outcome."Reuters Health. February 13, 2003 [cited March 1, 2003].
"Shortened Cervix in Second Trimester Possible Warning Sign for Premature Birth."National Institute of Child Health and Development. September 18, 2001 [cited March 1, 2003].
Starzyk, Kathryn A. and Carolyn M. Salafia. "A Perinatal Pathology View of Preterm Labor."Medscape Women's Health eJournal. 2000 [cited March 1, 2003].
Weiss, Robin Elise. "The Incompetent Cervix." [cited March 1, 2003.]
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Other Information
Cervical cerclage (tracheloplasty), also known as a cervical stitch, is used for the treatment of cervical incompetence, a condition where the cervix has become slightly open and there is a risk of miscarriage because it may not remain closed throughout pregnancy. Usually this treatment would be done for a woman who had suffered one or more miscarriages in the past, in the second trimester of pregnancy.
The treatment consists of a strong suture being inserted into and around the cervix early in the pregnancy, usually between weeks 12 to 14, and then removed towards the end of the pregnancy when the greatest risk of miscarriage has passed.
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