Indian Journal of Obstetrics and Gynecology Research


Pregnancy outcome after cervical encerclage


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Author Details: Vasantha Lakshmi GN, Saradha

Volume : 4

Issue : 3

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 301

Article End Page : 305


Abstract

Introduction: Cervical encerclage is an obstetric procedure performed for the prevention of prematurity. It was first introduced by shriodkar and McDonalds for women with repeated second trimester losses and cervical changes in current pregnancy.
Objective: To review the pregnancy outcome of patients after cervical encerclage.
Design: This was a retrospective observational study of women underwent cervical encerclage at Sriramachandra Medical College and Research Centre from 2016 to 2017.
Main outcome measures: Pregnancy outcomes include miscarriage, early preterm delivery, late preterm delivery and duration of pregnancy prolonged after encerclage.

Results:

       Overall, 32 patients are involved in this study. Out of 32, four are under follow up.

       Among 28, three (10.7%) pregnancies resulted in miscarriage, only (3.5%) had early preterm deliveries, thirteen (46.42%) had late preterm deliveries, eleven (39.2%) had term deliveries.

Conclusion: In our study, women who had cervical encirclage based on history and when ultrasound showing cervical length <2.5 cm, cervical encerclage beneficial in preventing early preterm births (<34 weeks) and perinatal mortality and morbidity. Rescue encirclage better than expectant management in women with cervical dilation with bulging membranes.

Keywords:
Cervical encirclage, Pregnancy outcome