• Daphnie Drassinower, Sarah H Poggi, Helain J Landy, Noridelle Gilo, James E Benson, and Alessandro Ghidini.
• Department of Obstetrics and Gynecology, Georgetown University Hospital, Washington, DC, USA.
• Am. J. Obstet. Gynecol. 2011 Jul 1; 205 (1): 53.e1-5.

ObjectiveTo evaluate perioperative complications of history- and ultrasound-indicated cerclage.MethodsWe performed a retrospective observational study of a cohort of patients who underwent history- (n = 198) or ultrasound-indicated (n = 89) cerclage procedures. We evaluated the rates of perioperative complications based on indication for cerclage. The χ(2) was used for categorical variables and Student t test for continuous data.ResultsOne patient (0.35%) had an intraoperative complication (unsuccessful regional anesthesia) and 1 patient (0.35%) had a postoperative complication (contractions and bleeding 2 weeks after cerclage placement, delivered a nonviable infant). Peripartum complications included chorioamnionitis (6.2%), preterm premature rupture of membranes (11%), preterm delivery (20%), and delivery before 32 weeks' gestational age (8%), and they were similar in the history-indicated and ultrasound-indicated groups.ConclusionHistory- and ultrasound-indicated cerclages are associated with a 0.6%; 95% confidence interval, -0.26 to 1.66 risk of perioperative complications. There was no difference in perioperative complications or outcome between the 2 groups.Copyright © 2011 Mosby, Inc. All rights reserved.

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