The effectiveness of rescue cervical cerclage: A retrospective observational study
Eastern Journal of Medicine, cilt.25, sa.3, ss.439-443, 2020 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 25 Sayı: 3
- Basım Tarihi: 2020
- Doi Numarası: 10.5505/ejm.2020.60430
- Dergi Adı: Eastern Journal of Medicine
- Derginin Tarandığı İndeksler: Scopus, Academic Search Premier, CAB Abstracts, CINAHL, EMBASE, Veterinary Science Database, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.439-443
- Anahtar Kelimeler: Cerclage, Cervical insufficiency, Perinatal mortality, Preterm delivery
- Van Yüzüncü Yıl Üniversitesi Adresli: Evet
Özet
We purposed to determine the outcome of emergency cervical cerclage (ECC) in pregnancies who had cervical dilatation in clinical examination. We evaluated 20 women between 18-25 weeks and performed ECC with the McDonald technique. We collected data included: prolongation of pregnancy, gestational age at delivery, neonatal survival rate, and perioperative complications. The mean gestational week of pregnancy was 21±1,6 at cerclage operation, and mean cervical dilatation was 2,5±1,1 mm. The mean prolongation of pregnancy and the mean gestational age at delivery were 47,3±37,1, and 27,8±5,3 were respectively. The mean birth weight was 1184±866 g. A perioperative complication occurred in 1 (5%) case. 15 of 20 (75%) neonates admitted to NICU and neonatal survival was 65%. Half of the cases delivered after 28 weeks of gestation, and there was no perinatal mortality in this group. ECC is a beneficial procedure to prolong pregnancy and to improve perinatal outcomes.