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Related Experiment Videos

Emergency cervical circlage for cervical incompetence.

K Arumugam1, M Ratnavale

  • 1Department of Obstetrics and Gynaecology, University Hospital, Kuala Lumpar, Malaysia.

Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology
|January 1, 1997
PubMed
Summary

Emergency cervical cerclage can save babies during inevitable middle trimester abortions caused by cervical incompetence. This procedure offers a chance for survival in high-risk pregnancies.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Cervical incompetence is a cause of inevitable middle trimester abortion.
  • Emergency cervical cerclage is a potential intervention.

Purpose of the Study:

  • To evaluate the efficacy of emergency cervical cerclage for inevitable middle trimester abortion due to cervical incompetence.

Main Methods:

  • Retrospective review of twelve patients undergoing emergency cervical cerclage.
  • Analysis of gestational age, cervical dilatation, pregnancy prolongation, and fetal outcomes.

Main Results:

  • Mean gestation was 23 weeks; median cervical dilatation was 3 cm.
  • Median pregnancy prolongation was 3.3 weeks.
  • Eight of 14 infants survived, all weighing over 1000g.

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Conclusions:

  • Emergency cervical cerclage can lead to viable outcomes in inevitable middle trimester abortions.
  • An active management approach is advocated for cervical incompetence.