OC144: Clinical significance of the presence of amniotic fluid ‘sludge’ in patients with cervical cerclage Academic Article uri icon


  • Objectives The presence of amniotic fluid (AF)'sludge'is a powerful predictor of intra-amniotic infection, spontaneous preterm delivery and histological chorioamnionitis in both symptomatic and asymptomatic patients. The objective of this study was to determine the clinical significance of the presence of AF 'sludge'among patients with a cervical cerclage. Methods This retrospective case–control study included 76 patients with cervical cerclage; 40 had AF 'sludge'and 36 did not. Patients with threatened preterm labor, multiple gestation, fetal anomalies, placenta previa and uterine contractions were excluded. Results The median gestational age at delivery was significantly lower among patients with cerclage and AF 'sludge'than among those without AF 'sludge'(28.7 (range, 22–39.7) weeks vs. 38 (range, 18.7–40.1) weeks, P= 0.02). Patients with cervical cerclage and AF 'sludge'had higher …

publication date

  • January 1, 2007