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. 2012 Dec;62(6):660-4.
doi: 10.1007/s13224-012-0233-x. Epub 2012 Aug 21.

Evaluation of outcomes associated with placement of elective, urgent, and emergency cerclage

M J Khan  1 , G Ali, G Al Tajir, H Sulieman
Affiliations

Evaluation of outcomes associated with placement of elective, urgent, and emergency cerclage

M J Khan et al. J Obstet Gynaecol India. 2012 Dec.

Abstract

Objectives: The aim of this study was to assess pregnancy outcomes after cervical cerclage.

Methods: A retrospective analysis of all cervical cerclages placed at Al Qassimi Hospital from 2004 to 2008 was performed. The primary outcome of interest was prolongation of pregnancy beyond 36 wks. Secondary outcomes were premature rupture of membranes, birth weight <1,500 g, and neonatal death.

Results: Cerclage was placed in 145 women: 112 elective, 16 urgent, and 17 emergency groups. Delivery beyond 36 weeks occurred in 79.4, 73.3, and 47.1 % in the elective, urgent, and emergency groups, respectively, p = 0.011. When comparing between elective, urgent, and emergency groups, incidences of low birth weight were 9.8, 13.3, and 33.3 %, respectively, p = 0.06, and premature ruptures of membranes occurred in 7.2, 6.3, and 17.7 %, respectively, p = 0.16. There were five neonatal deaths.

Conclusion: Therefore, although cerclage gives best results when it is performed as an elective procedure, emergency cerclage still confers some benefits.

Keywords: Cerclage; Outcomes; Pregnancy.

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References

    1. Petrou S, Mehta Z, Hockley C, et al. The impact of preterm birth on hospital inpatient admissions and costs during the first 5 years of life. Paediatrics. 2003;112(6 Pt 1):1290–1297. doi: 10.1542/peds.112.6.1290. - DOI - PubMed
    1. Becher N, Waldorf KA, Hein M, et al. The cervical mucous plug: structured review of the literature. Acta Obstet Gynaecol Scand. 2009;88:502–513. doi: 10.1080/00016340902852898. - DOI - PubMed
    1. Chandiramani M, Shennan AH. Cervical insufficiency: prediction, diagnosis and prevention. Obstet Gynaecol. 2008;10:99–108. doi: 10.1576/toag.10.2.099.27398. - DOI
    1. Nelson L, Dola T, Tran T, et al. Pregnancy outcomes following placement of elective, urgent and emergent cerclage. J Matern Fetal Neonatal Med. 2009;22(3):269–273. doi: 10.1080/14767050802613199. - DOI - PubMed
    1. Berghelia V, Odibo AO, Tolosa J. Cerclage for the prevention of preterm birth in women with a short cervix found on transvaginal ultrasound examination: a randomised trial. Am J Obstet Gynaecol. 2004;191:1311–1317. doi: 10.1016/j.ajog.2004.06.054. - DOI - PubMed

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