Should Every Gravida Exposed to Diethylstilbesterol in Utero Undergo Prophylactic Cerclage?

John M. Thorp Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA

Margaret Weeks Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA

William Watson Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA

Watson A. Bowes Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA

Wesley C. Fowler Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA

Abstract

Over the past 14 years, we found that limiting the use of cerclage to gravidas with either a history consistent with cervical incompetence or documented cervical change, produced acceptable perinatal outcomes. In this manuscript, we compare our outcomes in DES exposures to a previously published series that advocated prophylactic cerclage. The optimal management of the DES-exposed gravida awaits formal study in randomized trials.

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Should Every Gravida Exposed to Diethylstilbesterol in Utero Undergo Prophylactic Cerclage?

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Should Every Gravida Exposed to Diethylstilbesterol in Utero Undergo Prophylactic Cerclage?

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