Emergency cervical cerclage: A review of 15 cases.

Abstract:

BACKGROUND:This report describes our experience with 15 consecutive emergency cervical cerclages performed at Al Yamamah Hospital. PATIENTS AND METHODS:Between February 1994 and February 1997, 15 women with singleton pregnancies between 18 and 26 weeksâ gestation, with a cervical dilatation between 3 and 10 cm and with membrane prolapse, underwent emergency cerclage after excluding labor, placental abruption and intrauterine infection. The membranes were replaced using the technique of overfilling the urinary bladder and then performing McDonaldâs cerclage. All the patients received prophylactic antibiotics and tocolytics. RESULTS:Of the 15 pregnancies, two aborted and 13 ended in live births. Nine of the live births survived, giving a survival rate of 60%. The mean extension of pregnancy in the survivors was 11.5 weeks (range 7.6-15.2 weeks), and the gestational age at delivery ranged from 30-38+ weeks. In six of the patients, suture failed to prolong the pregnancy long enough to produce a âtake-home baby.â All the failures were due to subclinical intrauterine infection. There was no maternal morbidity. CONCLUSION:Emergency cerclage should be considered as a management option in women with painless cervical dilatation and membrane prolapse in the midtrimester.

journal_name

Ann Saudi Med

journal_title

Annals of Saudi medicine

authors

Al-Takroni AM,Aslam A,Parvathi CK,Shamdeen M,Hanbali M,Ahmed MS,Khatun A,Ali AM,Mendis KB

doi

10.5144/0256-4947.1999.23

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

23-6

issue

1

eissn

0256-4947

issn

0975-4466

pii

19-23

journal_volume

19

pub_type

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