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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
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Does rescue cerclage work?

Durai Shivani1, Bin Huey Quek2, Pih Lin Tan2

  • 1Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899, Singapore, Tel.: +65 97366679.

Journal of Perinatal Medicine
|June 25, 2018
PubMed
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Rescue cervical cerclage (RCC) can prolong pregnancies at high risk for preterm delivery or miscarriage. This emergency procedure resulted in a 71.2-day average interval to delivery and a 92.5% live birth rate in our study.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Reproductive Medicine

Background:

  • Rescue cervical cerclage (RCC), or emergency cerclage, is a controversial procedure for pregnancies with a dilated cervix.
  • It is often used as a last resort to prevent severe preterm delivery or mid-trimester miscarriage.

Purpose of the Study:

  • To evaluate the effectiveness of RCC in prolonging pregnancy until neonatal viability.
  • To assess pregnancy outcomes following emergency cerclage placement.

Main Methods:

  • Retrospective analysis of pregnancies undergoing rescue cervical cerclage at a single center.
  • Data collection on insertion-to-delivery interval, gestational age at delivery, and live birth rates.

Main Results:

Keywords:
Midtrimester miscarriagepregnancy intervalpreterm labourrescue cerclage

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  • The average interval between RCC insertion and delivery was 71.2 days.
  • A live birth rate of 92.5% was observed.
  • 89.1% of women delivered after 24 weeks of gestation.

Conclusions:

  • Rescue cervical cerclage can significantly prolong latency periods and improve pregnancy outcomes.
  • The procedure demonstrates considerable efficacy in preventing preterm birth and miscarriage when indicated.