El cerclaje de urgencia en la incompetencia istimicocervical con membranas protruyentes. nuestra experiencia

Abstract

Summary We present our experience of cervical cerclage in gestants with a dilated uterine cervix and bulging membranes. Our foetal survival rate is 25%. Transvaginal ultrasound is the technique routinely used to evaluate cervical competence during pregnancy. Vidence exists to confirm that emergency cerclage in cases of advanced dilatation produces a higher level of foetal survival than conservative treatment with bedrest. Controversy persists in those cases where cervical changes have been diagnosed early with ultrasound and in which cervical cerclage has not been demonstrated to be superior to conservative bedrest.