European Journal of Molecular & Clinical Medicine

Abstract

Purpose:  The purpose of this study was to analyse the maternal and neonatal outcomes of emergency cervical cerclage performed among the antenatal women with opened cervix and prolapsed membranes in their late second trimester.
Methodology:  This prospective observational study included 20 pregnant women with opened cervix and prolapsed membranes, who underwent emergency cervical cerclage at a single tertiary care centre for infertility and high-risk pregnancy. Study data were collected for a period of two years from 2019 to 2021. ECC was done by an experienced senior obstetrician. Modified Shirodhkars cerclage was done in 19 study subjects and McDonald’s technique was preferred for 1 study subject. Surgical complications like bleeding or sepsis were not reported. All study subjects received a single dose of prophylactic antibiotic and an injection of hydroxy progesterone caproate 500mg before the procedure.
Result:  All 20 study subjects were undergone emergency cervical cerclage. At the time of ECC, the mean ±SD maternal age of the study subjects was 30.20±4.927 years and the mean± SD gestational age was 19.865± 3.5423weeks. The mean interval between cerclage and delivery days was 95.65±42.458 days with a mean gestation at delivery of 30±4 weeks and a mean birth weight of 2196.15 ±868.214 g. As per the result, pregnancies were prolonged by an average of 95±42 days and no surgical complications occurred.
Conclusion: This study showed that emergency cervical cerclage has a place in prolonging pregnancy to a salvageable gestational age. This study further demonstrated that emergency cervical cerclage performed among patients presented with opened cervix and prolapsed membranes in late second trimester has positive perinatal and neonatal outcomes.