Emergent and elective cervical cerclage for cervical incompetence
Journal
International Journal of Gynecology and Obstetrics
Journal Volume
54
Journal Issue
1
Pages
23-29
Date Issued
1996
Author(s)
Abstract
Objective: The clinical outcomes of emergent and elective McDonald cerclage including cases of prolapsed amniotic sac were compared. Method: Forty-eight patients undergoing elective cervical cerclage suture and 21 patients receiving emergent cervical cerclage including eight cases of prolapsed fetal membranes in the vagina were retrospectively analyzed. Results: Prolongation of pregnancy (145 ± 27 vs. 58 ± 56 days, P < 0.001), delay of delivery (37.0 ± 3.1 vs. 28.3 ± 7.8 gestational weeks, P < 0.001), higher birth weight (3033 ± 751 vs. 1410 ± 1139 g, P = 0.001), better fetal salvage rate (98 vs. 52%, P < 0.05), and fewer lower Apgar scores (score < 7: 4/48 vs. 13/21 at 1 min, P = 0.000; 2/48 vs. 10/21 at 5 min, P = 0.000) were attained in the elective group compared with those in the emergent group. The clinical outcomes were not significantly different between those with and those without prolapsed fetal membranes, but this may have been due to the small sample size. Conclusion: In addition to elective cervical cerclage, we recommended this procedure in emergency cases even in those with a prolapsed amniotic sac.
SDGs
Other Subjects
adult; amnion fluid; Apgar score; article; birth weight; elective surgery; emergency medicine; female; fetus membrane; human; major clinical study; priority journal; sample; tissue injury; treatment outcome; uterine cervix cerclage
Type
journal article