caa a22 4500 378942441 CHVBK 20180305123655.0 cr unu---uuuuu 161128e20040315xx s 000 0 eng 10.1515/JPM.2004.026 doi (NATIONALLICENCE)gruyter-10.1515/JPM.2004.026 Amnioreduction in patients with bulging prolapsed membranes out of the cervix and vaginal orifice in cervical cerclage [Elektronische Daten] [Y. Makino, I. Makino, H. Tsujioka, T. Kawarabayashi] Objective: To determine whether an amnioreduction via bulging membranes (AVBM) and cerclage could be useful in 17 women with singleton gestations demonstrating hourglass membranes bulging out of the cervix or vaginal orifice. Methods: We used the following selection criteria for AVBM under ultrasonographic guidance using a peit needle because of undetectable cervical edges: (type 1) the bag of membranes protruded beyond the inlet of the vagina; (type 2) the bag of huge membranes completely occupied the vagina. Results: Eight patients (three cases of type 1 and five of type 2) were successful in AVBM and cerclage at 22.1±2.2 weeks gestation (range 19-24 weeks), and mean birth weight was 1,048.1±801.6 g (range 302- 2,688 g). Although the diameter of the forewater by transabdominal ultrasonography (cm) was higher than in the nine patients without AVBM (6.7±1.1 versus 4.1±0.7 cm, p=0.002), the prolongation of pregnancy (32.9±46.2 days; range 2-133 days) was the same as in patients without AVBM (36.9±39.3 day, p=1.000). Conclusion: It is important that every effort should be made to perform cervical cerclage at or before 26 weeks of gestation, even in women with type 1 or 2. Copyright © 2004 by Walter de Gruyter GmbH & Co. KG Human reproduction, growth & development nationallicence Gynaecology & obstetrics nationallicence Paediatric medicine nationallicence Makino Y. aut Makino I. aut Tsujioka H. aut Kawarabayashi T. aut Journal of Perinatal Medicine Walter de Gruyter 32/2(2004-03-15), 140-148 0300-5577 32:2<140 2004 32 jpme https://doi.org/10.1515/JPM.2004.026 text/html Onlinezugriff via DOI 1 research article jats NATIONALLICENCE 856 40 https://doi.org/10.1515/JPM.2004.026 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Makino Y. aut NATIONALLICENCE 700 1- Makino I. aut NATIONALLICENCE 700 1- Tsujioka H. aut NATIONALLICENCE 700 1- Kawarabayashi T. aut NATIONALLICENCE 773 0- Journal of Perinatal Medicine Walter de Gruyter 32/2(2004-03-15), 140-148 0300-5577 32:2<140 2004 32 jpme CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-gruyter