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A randomized controlled trial of cervical cerclage in women at high risk of spontaneous preterm delivery
Abstract
Summary. The effect of cervical suture on pregnancy outcome was studied in 194 women with a high risk (approximately 30%) of having a late abortion or a preterm delivery. The women were randomly allocated either to have a cervical suture inserted (n=96) or to be managed without a suture (n=98). There was no evidence that cervical cerclage either prolonged gestation or improved survival. Patients allocated to receive cerclage spent significantly longer in hospital, even when the period of admission for insertion was excluded. The patients in the cerclage group were more likely to receive tocolytic drugs, and more of them experienced puerperal pyrexia, although these differences between the groups were not statistically significant.
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Citations
Cited by
The length of the cervix and the risk of spontaneous premature delivery
Iams, J. D., Goldenberg, R. L., Meis, P. J., Mercer, B. M., Moawad, A., Das, A., Thom, E., McNellis, D., Copper, R. L., Johnson, F., et al. (1996) · New England Journal of Medicine · doi:10.1056/nejm199602293340904 · Cited by 1,894
Cerclage, M. W. P. O. C., Macnaughton, M. C., Chalmers, I. G., Dubowitz, V., Dunn, P. M., Grant, A. M., McPherson, K., Pearson, J. F., Peto, R., & Turnbull, A. C. (1993) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.1993.tb15300.x · Cited by 465
Self-citationTo, M. S., Alfirevic, Z., Heath, V. C., Cicero, S., Cacho, A. M., Williamson, P. R., & Nicolaides, K. H. (2004) · The Lancet · doi:10.1016/s0140-6736(04)16351-4 · Cited by 419
Metadata
- Authors
- RUSH, R. W., ISAACS, S., McPHERSON, K., JONES, L., CHALMERS, I., & GRANT, A.
- Venue
- BJOG: An International Journal of Obstetrics & Gynaecology
- Publisher
- Wiley
- Published
- 1984-08
- Volume
- 91
- Issue
- 8
- Pages
- 724-730
- ISSN
- 0306-5456 (ISSN-L)
- 1470-0328
- 1471-0528
- OpenAlex
- W2093091139
- Cited by
- 242
- References
- 0
- FWCI
- 2.34
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: A randomized controlled trial of cervical cerclage in women at high risk of spontaneous preterm delivery. https://app.cochat.ai/papers/10.1111/j.1471-0528.1984.tb04840.x
- The paper
- RUSH, R. W., ISAACS, S., McPHERSON, K., JONES, L., CHALMERS, I., & GRANT, A. (1984). A randomized controlled trial of cervical cerclage in women at high risk of spontaneous preterm delivery. BJOG: An International Journal of Obstetrics & Gynaecology. https://doi.org/10.1111/j.1471-0528.1984.tb04840.x
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.