TRANSABDOMINAL CERCLAGE AND PERINATAL OUTCOMES —A FIVE YEARS RETROSPECTIVE STUDY
Journal Title: Indian Obstetrics & Gynaecology - Year 2017, Vol 7, Issue 2
Abstract
Background: Transabdominal placement of a cervical cerclage appears to be safe and effective procedure in reducing pregnancy loss in selected patients with cervical incompetence. It can be placed almost at the internal os, by laparoscopy or laparotomy, in non-pregnant or pregnant state and can be left in situ till the woman’s obstetric career is complete. Objective: The purpose of this study was to evaluate the effectiveness of transabdominal cerclage placement, in terms of obstetric and perinatal outcomes in the study population. Material and methods: We conducted a five years retrospective study on consecutive women undergoing transabdominal cerclage from 2010 to 2015 at ’Me and Mummy’ hospital, Surat (Gujarat). Data was retrieved from medical records. Eligible women had past history suggestive of cervical incompetence, previous failed transvaginal cerclage or short cervix unfavourable for transvaginal cerclage. The primary outcome of the study was to measure neonatal survival rate whereas the secondary outcomes were delivery after 34 weeks of gestation and procedure related complications. Results: Total 25 women underwent transabdominal cerclage during the study period. In 24 women the procedure was done by laparoscopy and in one woman laparotomy was done. Twenty two women underwent interval cerclage and three women underwent antenatal placement of cerclage. Total 17 pregnancies and 21 foetuses were evaluated during the study period (four pairs of twins). Neonatal survival rate was 95.65 % ( 20 of 21 babies). Out of 17 women, 11 women delivered after 37 weeks (64.70%), four women after 34 weeks (23.52%), one woman after 28 weeks of gestation and one woman had inevitable miscarriage within one week of procedure. There were no procedure related complications. Conclusion: Transabdominal cerclage in selective cases and in expert hands is a safe and effective procedure resulting in favourable obstetric and neonatal outcomes in women with poor obstetric history due to cervical incompetence.
Authors and Affiliations
Dr. Gouri Nagraj Bhatt, Dr. Praful Doshi, Dr. Mitsu Doshi, Dr. Akash Patel, Dr. Hitanshu Bhatt, Dr. Saniya Goel
Keywords
Related Articles
- EP ID EP457786
- DOI -
- Views 90
- Downloads 0
IODINE DEFICIENCY IN PREGNANCY
Iodine is an essential nutrient required for the biosynthesis of thyroid hormones thyroxine (T4) and triiodothyronine (T3),which are responsible for regulating growth, development and metabolism. For many people, the maj...
PRENATAL DIAGNOSIS OF PENTALOGY OF CANTRELL IN SECOND TRIMESTER OF PREGNANCY: A CASE REPORT & REVIEW OF LITERATURE
Introduction: Pentalogy of Cantrell is a rare entity of congenital defects of unknown etiology characterized by multiple structural anomalies. Case report: We report a case of complete pentalogy of Cantrell at 20 weeks...
Sexual Violence: What Practitioners Can Do!
Gender-based violence is an increasing problem- it has been there since years but probably now more people are talking about it and there has been increasing media coverage and social debate on these issues. In fact, the...
Invasive Mole of the Uterus - Case Report
Invasive mole is a tumorous growth associated with pregnancy and falls under the realm of gestational trophoblastic disease. Due to their aggressive growth characteristics, invasive moles are considered locally invasive...
CERVICAL CANCER: GENETIC FACTOR- CONSEQUENCES AND COMPLICATIONS
Cervical cancer is the third most common cancer of women. This carcinoma is caused by Human Papillomavirus (HPV), acquired as a sexually transmitted infection; HPV 16 is most carcinogenic among all HPV variants. HPV infe...