Authors :
Dr. Sahar Syeed; Dr. Sameer Ahmad; Dr. Shakir Rasool Khan; Dr. Mahak Bhat
Volume/Issue :
Volume 8 - 2023, Issue 3 - March
Google Scholar :
https://bit.ly/3TmGbDi
Scribd :
https://bit.ly/437CTs2
DOI :
https://doi.org/10.5281/zenodo.7809268
Abstract :
Cervical incompetence has been recognized as the
leading cause of recurrent abortions in mid trimester.
The elective cerclage based on history and clinical
findings applied in second trimester overcomes the risk
of emergency procedure. This problem is quite common
in patients visiting department of Obstetrics and
Gynaecology, Govt Medical College Srinagar LD
Hospital.
Objectives:
Assess gestational age at delivery after elective
cervical cerclage application in mothers with recurrent
mid trimester abortions. List the immediate and late
complications of cerclage. Assess the fetal outcome after
cerclage.
Outcome Measures:
Percentage of mid trimester abortion in current
pregnancy.
Frequency of prolongation of gestational age at
delivery.
Complications of the procedure.
Birth weight of the baby.
Percentage of live births.
Fetal survival rate.
Study Design:
Interventional: Quasi experimental study.
Setting: Department of Obstetrics and Gynaecology,
Govt Medical College Srinagar LD Hospital.
Period: March 2022to March 2023.
Subjects: Fifty patients with recurrent mid trimester
miscarriage due to cervical incompetence.
Methods:
Patients were admitted through outdoor with
history of previous mid trimester abortions possibly due
to cervical incompetence. USG evidence of normal
pregnancy with no obvious congenital anomaly was a pre
requisite for cervical cercalge. Technique used was
MCDonald’s suture under general anaesthesia. Results:
Effectiveness of cerclage was 90%; 78% had term
deliveries, 12% preterm delivery and 5 spontaneous mid
trimester abortions. There were 81% live births. The
complications included cervical trauma after delivery
(2%), spontaneous abortions (10%), pre term delivery
(13%) and pre prom (2%). Conclusion: Elective cerclage
at 12-14 wks of gestation in recurrent mid trimester
abortions results in good fetomaternal outcome with
almost no complications.
Keywords :
Cervical Incompetence, Elective Cervical Cerclage, McDonald’s Stitch.
Cervical incompetence has been recognized as the
leading cause of recurrent abortions in mid trimester.
The elective cerclage based on history and clinical
findings applied in second trimester overcomes the risk
of emergency procedure. This problem is quite common
in patients visiting department of Obstetrics and
Gynaecology, Govt Medical College Srinagar LD
Hospital.
Objectives:
Assess gestational age at delivery after elective
cervical cerclage application in mothers with recurrent
mid trimester abortions. List the immediate and late
complications of cerclage. Assess the fetal outcome after
cerclage.
Outcome Measures:
Percentage of mid trimester abortion in current
pregnancy.
Frequency of prolongation of gestational age at
delivery.
Complications of the procedure.
Birth weight of the baby.
Percentage of live births.
Fetal survival rate.
Study Design:
Interventional: Quasi experimental study.
Setting: Department of Obstetrics and Gynaecology,
Govt Medical College Srinagar LD Hospital.
Period: March 2022to March 2023.
Subjects: Fifty patients with recurrent mid trimester
miscarriage due to cervical incompetence.
Methods:
Patients were admitted through outdoor with
history of previous mid trimester abortions possibly due
to cervical incompetence. USG evidence of normal
pregnancy with no obvious congenital anomaly was a pre
requisite for cervical cercalge. Technique used was
MCDonald’s suture under general anaesthesia. Results:
Effectiveness of cerclage was 90%; 78% had term
deliveries, 12% preterm delivery and 5 spontaneous mid
trimester abortions. There were 81% live births. The
complications included cervical trauma after delivery
(2%), spontaneous abortions (10%), pre term delivery
(13%) and pre prom (2%). Conclusion: Elective cerclage
at 12-14 wks of gestation in recurrent mid trimester
abortions results in good fetomaternal outcome with
almost no complications.
Keywords :
Cervical Incompetence, Elective Cervical Cerclage, McDonald’s Stitch.