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Obstetrics

Study casts doubt on common surgical procedure to reduce premature birth

Published in Women's Health Weekly, June 24th, 2004

A common surgical procedure to prevent the cervix opening during pregnancy - thought to reduce the risk of preterm delivery - is called into question by results of a study in the June 5, 2004, issue of the Lancet.

Cervical cerclage (stitching to keep the cervix closed) has been widely used in the past 50 years to prevent early preterm birth. Kypros Nicolaides from Kings College Hospital, London, U.K., and colleagues used ultrasound screening to identify women with a short cervix (assumed to be at a higher risk of premature delivery) and randomized 250 such women to receive either cervical cerclage or no surgery.

Only a small decrease in the...

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