Suture type and ultrasound-indicated cerclage efficacy

Vincenzo Berghella, Jeff M. Szychowski, John Owen, Gary Hankins, Jay D. Iams, Jeanne S. Sheffield, Annette Perez-Delboy, Deborah A. Wing, Edwin R. Guzman

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Objective: To assess whether type of suture material affects cerclage efficacy for preterm birth (PTB) prevention. Methods: Secondary analysis of a multicenter trial of ultrasound-indicated cerclage for short cervical length (CL), in which women with prior spontaneous PTB at 1633 6/7 weeks, a singleton gestation and CL < 25 mm between 1622 6/7 weeks, were randomized to McDonald cerclage or no cerclage. Outcomes of women who underwent cerclage were analyzed by type of suture material, comparing polyester braided thread (Mersilene™ or Ethibond™) to Mersilene tape™. Primary outcome was PTB < 35 weeks. Results: 138 women underwent McDonald cerclage: 84 (61%) received polyester braided thread and 46 (33%) Mersilene tape™. Eight (6%) received monofilament suture and were excluded from analysis. Rates of PTB < 35 weeks were similar, 35% for polyester braided thread vs 24% for Mersilene tape™ (p = .24). Birth gestational age was also similar among the 2 groups (p = .18). Conclusion: Type of suture material may not affect ultrasound-indicated cerclage efficacy in high-risk women with short CL, but further study is needed. Polyester braided thread (Mersilene™ or Ethibond™) and polyester braided Mersilene tape™ seem to have similar efficacy.

Original languageEnglish (US)
Pages (from-to)2287-2290
Number of pages4
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume25
Issue number11
DOIs
StatePublished - Nov 2012

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Polyesters
Sutures
Premature Birth
Cervical Cerclage
Gestational Age
Multicenter Studies
Lavsan
Parturition
Pregnancy

Keywords

  • Cerclage suture
  • Preterm birth prevention
  • Short cervical length

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Berghella, V., Szychowski, J. M., Owen, J., Hankins, G., Iams, J. D., Sheffield, J. S., ... Guzman, E. R. (2012). Suture type and ultrasound-indicated cerclage efficacy. Journal of Maternal-Fetal and Neonatal Medicine, 25(11), 2287-2290. https://doi.org/10.3109/14767058.2012.688081

Suture type and ultrasound-indicated cerclage efficacy. / Berghella, Vincenzo; Szychowski, Jeff M.; Owen, John; Hankins, Gary; Iams, Jay D.; Sheffield, Jeanne S.; Perez-Delboy, Annette; Wing, Deborah A.; Guzman, Edwin R.

In: Journal of Maternal-Fetal and Neonatal Medicine, Vol. 25, No. 11, 11.2012, p. 2287-2290.

Research output: Contribution to journalArticle

Berghella, V, Szychowski, JM, Owen, J, Hankins, G, Iams, JD, Sheffield, JS, Perez-Delboy, A, Wing, DA & Guzman, ER 2012, 'Suture type and ultrasound-indicated cerclage efficacy', Journal of Maternal-Fetal and Neonatal Medicine, vol. 25, no. 11, pp. 2287-2290. https://doi.org/10.3109/14767058.2012.688081
Berghella V, Szychowski JM, Owen J, Hankins G, Iams JD, Sheffield JS et al. Suture type and ultrasound-indicated cerclage efficacy. Journal of Maternal-Fetal and Neonatal Medicine. 2012 Nov;25(11):2287-2290. https://doi.org/10.3109/14767058.2012.688081
Berghella, Vincenzo ; Szychowski, Jeff M. ; Owen, John ; Hankins, Gary ; Iams, Jay D. ; Sheffield, Jeanne S. ; Perez-Delboy, Annette ; Wing, Deborah A. ; Guzman, Edwin R. / Suture type and ultrasound-indicated cerclage efficacy. In: Journal of Maternal-Fetal and Neonatal Medicine. 2012 ; Vol. 25, No. 11. pp. 2287-2290.
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abstract = "Objective: To assess whether type of suture material affects cerclage efficacy for preterm birth (PTB) prevention. Methods: Secondary analysis of a multicenter trial of ultrasound-indicated cerclage for short cervical length (CL), in which women with prior spontaneous PTB at 1633 6/7 weeks, a singleton gestation and CL < 25 mm between 1622 6/7 weeks, were randomized to McDonald cerclage or no cerclage. Outcomes of women who underwent cerclage were analyzed by type of suture material, comparing polyester braided thread (Mersilene™ or Ethibond™) to Mersilene tape™. Primary outcome was PTB < 35 weeks. Results: 138 women underwent McDonald cerclage: 84 (61{\%}) received polyester braided thread and 46 (33{\%}) Mersilene tape™. Eight (6{\%}) received monofilament suture and were excluded from analysis. Rates of PTB < 35 weeks were similar, 35{\%} for polyester braided thread vs 24{\%} for Mersilene tape™ (p = .24). Birth gestational age was also similar among the 2 groups (p = .18). Conclusion: Type of suture material may not affect ultrasound-indicated cerclage efficacy in high-risk women with short CL, but further study is needed. Polyester braided thread (Mersilene™ or Ethibond™) and polyester braided Mersilene tape™ seem to have similar efficacy.",
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