NL-OMON38330
Completed
Phase 3
Removal versus Retention of Cerclage in Preterm Premature Rupture of Membranes. - PPROMCerclage
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Not specified
- Sponsor
- Academisch Medisch Centrum
- Enrollment
- 40
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •A previously placed prophylactic cerclage defined as any cerclage done \* 23w6d weeks including those done for previous history of cervical incompetence, asymptomatic cervical shortening (regardless of effacement) and asymptomatic cervical dilation \* 3 cm
- •Spontaneous rupture of membranes 22w0d\-32w6d weeks
- •Singleton or twin gestation
- •Shirodkar or McDonald cerclage in place \* 1 week
Exclusion Criteria
- •Active labor (\>8 UCs per hour)
- •Chorioamnionitis \- defined by temp of \>38ºC, plus fetal tachycardia or uterine tenderness
- •Placenta previa or undiagnosed vaginal bleeding
- •Nonreassuring fetal status by NST or BPP
- •Mature pulmonary studies
- •\+ gram stain, culture, WBC \* 30, or glucose \* 14 on amniocentesis (amniocentesis optional)
- •Major fetal anomaly
- •Presentation \> 48 hours after rupture of membranes
- •Abdominal cerclage
- •Cerclage done for symptomatic cervical dilation (cervix dilated \> 3cm)
Outcomes
Primary Outcomes
Not specified
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