[Transabdominal cerclage in the management of cervical incompetence]

The Transabdominal Cerclage in the Cervical Incompetence. The purpose of this study was to assess the transabdominal cerclage indications at the Instituto Nacional de Perinatología. A retrospective study was carried on in order to evaluate fetal outcome in all patients with transabdominal cerclages. Since 1997 seven transabdominal cerclages were performed. The primary indication was unsuccessful previous vaginal cerclage. All seven patients delivered at term. The rate of live births before the procedure was 5.2% compared to 85.8% after the transabdominal cerclage. There was one still birth a the gestational of 37.2 in a woman with preeclampsia. Five newborns were small for gestational age. In our study the transabdominal cerclage, under strict indications, offers a high fetal survival rate with a minimum of complications in patients with a poor obstetric history due to cervical incompetence and unsuccessful vaginal cerclage.