The Role of EMERGENCY CERVICAL CERCLAGE VERSUS CONSERVATIVE MANAGEMENT IN PREVENTION OF PRETERM LABOR

Khalaf, Hail; Abdelbaset, Abd El-Baset Fakhry; Youssef, Aymen Moheb; Abd El-Azeem, Alaa Gamal

doi:10.21608/mjmr.2024.273728.1683

The Role of EMERGENCY CERVICAL CERCLAGE VERSUS CONSERVATIVE MANAGEMENT IN PREVENTION OF PRETERM LABOR

Document Type : Original Article

Authors

¹ Obstetrics and Gynecology Department, Faculty of Medicine, Minia University.Minia

² Prof. of Obstetrics and Gynaecology and Dean of Faculty of Medicine , Minia University

³ Prof. of Obstetrics and Gynaecology, Faculty of Medicine, Minia University

⁴ Assistant professor of Obstetrics and Gynaecology, Faculty of Medicine , Minia University

10.21608/mjmr.2024.273728.1683

Abstract

Aim and objectives; to evaluate the outcome of emergency cervical cerclage in preventing pre term labor and second trimestric miscarriage compared with conservative management in MUMH.

methods : Clinical and demographic data, gestational age at cerclage, interval between cerclage and delivery, gestational age at delivery, birth weight, and other relevant information were retrieved from medical records. The factors that could impact the outcome were examined.

Result: The study included forty pregnant women ranging in gestational age from twelve to twenty-four weeks. Cerclage was performed at an average gestational age of 21 weeks. Intervals between cerclage delivery were 46 days on average. Neonatal weight at birth was 1341 gm, and the average gestational age was 27 weeks. While there was a statistically significant difference in gestational age at delivery and neonatal birth weight, there was no difference in the cerclage-delivery interval regardless of whether the cerclage was performed before or after 20 weeks. A dilated cervix greater than 3 cm, symptoms, membranes passing through the cervix, or an infection are all risk factors for failure.

Conclusion: Patients with cervical incompetence can benefit from emergency cervical cerclage in two ways: it can lengthen the pregnancy and it improves the newborn outcome. Nevertheless, it is advised to conduct large-scale randomized controlled trials in the future.

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