Article: Obstetric history, not ultrasound, should guide cerclage decisions.(Women's Health)

RENO, NEV. -- There was no reduction in preterm birth but a higher cerclage rate and a doubling of hospital days when cervical scanning, rather than obstetric history, was used to determine necessity for the procedure.

Results of the randomized, controlled CIRCLE (Assessment of Cervical Cerclage for the Prevention of Preterm Labour) trial do not suggest any benefit in replacing historical indications for suture placement with ultrasound surveillance, Dr. Rachael Simcox said at the annual meeting of the Society for Gynecologic Investigation.

Dr. Simcox and associates recruited 247 women from nine centers in the United Kingdom carrying singleton ...

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