Evaluation of cervical cerclage for sonographically incompetent cervix in at high risk patients.

Abstract

BACKGROUND:

To determine the impact of Cervical Cerclage (CC) for prolongation of pregnancy, maternal and foetal outcome.

METHODS:

This Descriptive cross-sectional study was conducted over a period of 2 years patients with history of two or more recurrent midtrimester abortions/preterm deliveries were included. Those with abnormal foetus, vaginal bleeding and choreoamneonitis were excluded. All patients were subjected to transvaginal sonography. Those having sonographic evidence of cervical shortening/dilatation/cone formation were subjected to McDonald suture. Age, parity, period of gestation and aetiological factors were determined.

RESULTS:

Results were evaluated on the basis of pregnancy prolongation, 14-28 weeks (7.5%), 28-36 weeks (18.7%), 35-37 weeks (73.7%),vaginal delivery in (70%), instrumental (1305%), Caesarean section (17.5%),miscarriage (7.5%), prematurity (18.7%), term delivery (73.7%), prenatal death (13.7%), foetal survival rate (85.1%). No intraoperative complication found. During pregnancy premature rupture of membrane (3.7%), abruption (2.5%), severe pre-eclampsia (3.7%). During labour cervical dystocia was found in (2.5%), foetal distress (8.7%), mal-presentations (6.2%), cervical trauma (3.7%).

CONCLUSION:

We determined a high success rate of cervical cerclage on properly selected patients with sonographic evidence of cervical changes. Cervical sonography can be a valuable adjunct to clinical evaluation of these patients.

• Authors: Shamshad, Yasmin Mustajab, Muhammad Jehanzaib
• Journal: Journal of Ayub Medical College, Abbottabad : JAMC (J Ayub Med Coll Abbottabad) 2008 Apr-Jun Vol. 20 Issue 2 Pg. 31-4 ISSN: 1025-9589 [Print] Pakistan
• PMID: 19385453 (Publication Type: Evaluation Study, Journal Article)

Topics

• Adult
• Cerclage, Cervical
• Cervix Uteri (diagnostic imaging, surgery)
• Cross-Sectional Studies
• Female
• Humans
• Middle Aged
• Pregnancy
• Pregnancy Outcome
• Recurrence
• Risk Assessment
• Ultrasonography
• Uterine Cervical Incompetence (diagnostic imaging, surgery)