ISSN 1301 - 0883 / E-ISSN 1309 - 3886
 
 








  The effectiveness of emergency cervical cerclage: a retrospective observational study [Eastern J Med]
Eastern J Med. 2020; 25(3): 439-443 | DOI: 10.5505/ejm.2020.60430  

The effectiveness of emergency cervical cerclage: a retrospective observational study

Gürcan Türkyılmaz1, Onur KARAASLAN2
1Department Of Obstetrics And Gynecology, Van Education And Research Hospital, Van, Turkey
2Department Of Obstetrics And Gynecology, Yüzüncü Yıl University, Faculty Of Medicine, Van, Turkey

INTRODUCTION: We purposed to determine the outcome of emergency cervical cerclage (ECC) in pregnancies who had cervical dilatation in clinical examination.
METHODS: 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.
RESULTS: 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.
DISCUSSION AND CONCLUSION: ECC is a beneficial procedure to prolong pregnancy and to improve perinatal outcomes.

Keywords: cerclage, cervical insufficiency, perinatal mortality, preterm delivery


Gürcan Türkyılmaz, Onur KARAASLAN. The effectiveness of emergency cervical cerclage: a retrospective observational study. Eastern J Med. 2020; 25(3): 439-443

Corresponding Author: Gürcan Türkyılmaz, Türkiye


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