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Emergency cervical cerclage: Ramathibodi Hospital experience
1Department of Obstetrics and Gynaecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Summary
Emergency cervical cerclage can lead to favorable pregnancy outcomes. This procedure resulted in live births for most patients with no serious maternal complications, indicating its effectiveness in selected cases.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Cervical insufficiency is a significant cause of pregnancy loss.
- Emergency cervical cerclage is a procedure to prevent preterm birth in cases of cervical dilation.
Purpose of the Study:
- To evaluate the pregnancy outcomes following emergency cervical cerclage.
- To assess the safety and efficacy of emergency cervical cerclage in a real-world clinical setting.
Main Methods:
- Retrospective review of patient records from Ramathibodi Hospital (1982-1997).
- Data collected included maternal demographics, obstetric history, gestational age at cerclage, latency period, complications, and pregnancy outcomes.
- Analysis of outcomes for patients undergoing emergency cervical cerclage.
Main Results:
- Only 1 out of 7 patients (14.3%) undergoing emergency cervical cerclage experienced abortion.
- The remaining 6 patients (85.7%) continued their pregnancies to live birth.
- No serious maternal complications were reported following the procedure.
Conclusions:
- Emergency cervical cerclage demonstrates a favorable outcome in selected cases of cervical insufficiency.
- The procedure is associated with a high rate of live births and a low rate of maternal complications.
- This intervention can be a valuable option for managing advanced cervical dilation during pregnancy.