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McDonald cerclage under pudendal nerve block

B McCulloch1, S Bergen, B Pielet

  • 1Department of Obstetrics and Gynecology, Lutheran General Hospital, Park Ridge, IL 60068.

American Journal of Obstetrics and Gynecology
|February 1, 1993
PubMed
Summary

McDonald cerclage placement using pudendal anesthesia is safe and effective, showing no significant pain differences compared to regional anesthesia. This method offers substantial cost savings for patients and physicians.

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Area of Science:

  • Obstetrics and Gynecology
  • Anesthesiology

Background:

  • Cervical insufficiency is a significant concern in pregnancy.
  • Cervical cerclage is a common procedure to prevent preterm birth.
  • Anesthesia choices for cerclage impact patient comfort and healthcare costs.

Purpose of the Study:

  • To evaluate the safety and efficacy of McDonald cerclage using pudendal anesthesia.
  • To compare patient pain levels and hospital charges between pudendal and regional anesthesia for cerclage placement.

Main Methods:

  • Prospective, nonrandomized study design.
  • Pain assessment using a visual analog scale.
  • Comparison of outcomes between pudendal anesthesia and regional anesthesia groups using Student t test.

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Main Results:

  • 20 patients received McDonald cerclage with pudendal anesthesia; 49 served as controls with regional anesthesia.
  • No statistically significant differences in pain were observed between the two groups.
  • No complications were reported with pudendal anesthesia, and significant cost savings were achieved.

Conclusions:

  • McDonald cerclage can be successfully placed using pudendal anesthesia.
  • Pudendal anesthesia is a safe, effective, and cost-efficient alternative for McDonald cerclage.
  • This approach optimizes resource utilization for patients and healthcare providers.