A Comparative Study of Modified Shirodkar�s Cerclage and Mcdonald�s Cerclage in Cervical incompetence
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2016, Vol 3, Issue 2
Abstract
Background and Objectives: The term ‘cervical incompetence’ is used to describe a disorder in which painless cervical dilatation led to recurrent second trimester pregnancy losses .Structural weakness of cervical tissue was thought to cause or contribute to these adverse outcomes. The diagnosis has also been applied to women with one or two such losses/deliveries or at risk for such a loss/delivery. The aims and objectives of this study were to study the maximum gestational age upto which pregnancy can reach after cerclage, the morbidity of the procedure in terms of complications of the surgery, days of hospital stay, cost effectiveness, etc. and to estimate if cerclage prevents preterm birth and perinatal mortality and morbidity in women with previous preterm birth and short cervical length. Methods: A hospital based prospective study including 50 cases of Modified Shirodkar’s Cerclage and 50 cases of McDonald’s Cerclage, from July 2012 to September 2014 at Dr. D.Y. Patil Medical College and Hospital, Pimpri. Results: The average gestational age up to which pregnancy continued in patients with Modified Shirodkar’s Cerclage was 36 weeks compared to patients with McDonald’s Cerclage which was 33 weeks. Conclusion: Modified Shirodkar’s Cerclage was found to be a comparatively better method of cerclage than McDonald’s Cerclage in terms of preventing preterm birth. Women undergoing Modified Shirodkar’s Cerclage carried their pregnancy significantly longer, had lower neonatal admission rates and suffered a lower cost for maternal and neonatal care. They also showed higher birth weights and lower neonatal death rates.
Authors and Affiliations
Hemant G. Deshpande, Anika G. Ansari, Parveen S. Choudhary, Chandrakant S Madhav
Keywords
Related Articles
- EP ID EP241300
- DOI -
- Views 80
- Downloads 0
Knowledge, attitude, and practices of family planning methods among women of reproductive age attending OPD in tertiary care centre, Lucknow, Uttar Pradesh
Introduction India with 134 billion people is the second most populated country in the world while china is on the top with over 141 billion people Total fertility rate of India is 22 and the current total fertility rate...
The study of CIN in pregnancy
Introduction: Each year approximately 1.3 lakh women are diagnosed with cervical cancer and 74000 die of it in India as per WHO observations. The importance of Pap smear in pregnancy is to screen more number of cases in...
Study on prevalence of hypothyroidism in pregnancy in rural population of Pilkhuwa, Hapur, U.P.
Introduction: Thyroid dysfunction is a common endocrine disorder in pregnancy. Thyroid hormones are necessary for development of fetal brain during pregnancy. Thyroid dysfunction during pregnancy has significant adverse...
Diagnostic hysterolaparoscopy in evaluation of female infertility in a Rural Medical College
Objective: To study the efficacy of combined diagnostic hystero-laparoscopy in evaluation of causes of female infertility. Methods: Ours was a retrospective study conducted in the Department of Obs & Gyn from January 201...
To compare empirical treatment of uncomplicated UTI in pregnancy
Objectives To compare empirical treatment with fosfomycin and nitrofurantoin in uncomplicated lower urinary tract infection during pregnancyMaterials and Methods Patients were recruited from OPD of obstetrics and gynecol...