OBJECTIVE: To determine the etiological factors, clinical presentation and pregnancy outcome
in women who underwent cervical cerclage for incompetent cervix.
SETTING: Obstetrics and Gynaecology Unit-II, Liaquat University Hospital, Hyderabad-Pakistan.
Data records from January 2004 to December 2006 were analysed.
STUDY DESIGN: A retrospective study.
MATERIAL METHODS: The case files and OPD records of the cases of cervical incompetence
were studies and data were recorded on a precoded proforma regarding patient’s past obstetrical
history, gestational age and cervical dilatation at the time cerclage placement, complications
and pregnancy outcomes.
RESULT: Among 3033 patients admitted in the hospital 55 were diagnosed to have cervical incompetence,
hence incidence come out 1.81%. In 41 patients cervical cerclage was applied, the
method was “McDonald purse string suture”. Out of 41 patient’s miscarriage, pre-term and term
delivery were 2.43%, 65.85% and 39.02% respectively. Foetal survival was 82.92%. No effect was
seen on mode of delivery. There were no serious maternal complications.
CONCLUSIONS: Past history of recurrent mid-trimester abortion or pre-term delivery when
combine with ultrasonography form reliable basis for diagnosis. Cervical cerclage seems to be
the effective treatment of choice in patients with cervical incompetence.
Cervical Cerclage, cervical incompetence, complication and pregnancy out come.