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Original Article

J Liaquat Uni Med Health Sci. 2009; 8(3): 234-237

Role of Cervical Cerclage in Cervical Incompetence

Samina Memon, Fozia Shaikh, Pushpa.

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.

Key words: Cervical Cerclage, cervical incompetence, complication and pregnancy out come.

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