Pregnancy outcomes after cervical cerclage: Analysis at tertiary care
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 2, Pages 2686-2693
AbstractAim: To evaluate the effectiveness and safety of cervical cerclage in women who presented with different indications for cerclage.
Materials and Methods: This retrospective study was conducted in department of OBG (Vanivilas hospital), Bangalore medical college and research institute, Bangalore From January-2017 to December-2021 by analysing data of 110 cervical circlage performed for All women who presented between 14 to 24 weeks of gestational age with previous history of mid-trimester abortion or preterm delivery, or with cervical length of less than 25mm with prior history of mid-trimester loss, or diagnosed with cervical dilatation of 2 to 4 cm. Patients were excluded if the fetus had known structural or chromosomal abnormalities, multiple pregnancy, placental abruption, established labor, premature rupture of membranes and clinical symptoms or laboratory findings suggestive of chorioamnionitis [uterine tenderness and/or temperature above 38 ◦C or white blood cell count >18,000/mm3].
Conclusion: All women with history-indicated, ultrasound-indicated and physical examination indicated should be counseled regarding efficacy of the cervical cerclage. Proper selection of cases results in successful outcome. With good NICU back up most of the pregnancies can be salvaged with minimal morbidity to the neonates.
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