A clinico-epidemiological review of cervical cerclage from the Assir region of Saudi Arabia

Sobande, Adekunle A.; Archibong, Eric I.; Sadek, Ahmed M.; Singagil, N. H.; Akinola, S.E.

doi:10.1080/01443610120113283

Cited by 6 publications

(3 citation statements)

References 19 publications

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“…Previous studies have reported a wide range of pregnancy outcomes. Sobande reported 90% live births while Jogen reported 43% live births [24,25]. Findings in this study are also closely related to a study in Zambia with 76.8%, 14% and 9.2% of term, pre-term and miscarriages respectively [26].…”

Section: Discussionsupporting

confidence: 86%

A Five-Year Survey of Cervical Cerclage at a Nigerian Tertiary Hospital

2018

JGRM

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Background: Cervical incompetence is an important cause of mid-trimester miscarriage. Mid- trimester pregnancy loss is a distressing event for both parents and physician contributing significantly to perinatal mortality, hence Cervical Cerclage. Proper definition of cervical incompetence and proper patient selection will improve the outcome of cervical cerclage. Objective: To document the indications, outcome and complications associated for cervical cerclage insertion Methods and Material: A 5-year retrospective analysis undertaken on patients who had cervical cerclage for cervical incompetence at the university of Abuja teaching hospital, Gwagwalada FCT within the period spanning from January 2012 to December 2017. Case folders of patients who had cervical cerclage were retrieved from the central records. Results: In this study, 96 patients had cervical cerclage. Women within the age range of 26-30 (42.7%) had the highest cerclage insertion. Most of the cerclage were done between 14-16 weeks’ gestation (45.8%) while, 38 (39.6%) were done below 14weeks and 14 (14.6%) were done above 16weeks gestation. All patients had McDonald’s stitch. The most predominant indication for cerclage insertion being “history indicated” (78.1%). The most observed complication was pre-term labour 16 (16.7%) while majority of the patients 53 (55.2%) had no complications. The hallmark of the study was, out of the 96 women who had cervical cerclage, 14 (14.6%) had miscarriage and 82 (85.4%) delivered above the age of fetal viability. Out of the 82 patients that delivered above viability, 69 (84.1%) term deliveries, 13 (15.9%) preterm deliveries. Out of the 82 deliveries above fetal viability, there were 76 (92.7%) live births and 6 (7.3%) stillbirths. Vaginal deliveries were 61 (74.4%), while 21 (25.6%) were caesarean section. Therefore 69 (71.9%) of patients within this study had a successful cerclage. Conclusion: Cervical cerclage remains one of the most practiced and deemed effective methods of preventing and prolonging preterm births. Its outcome depends on a careful patient selection and procedure.

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Section: Discussionsupporting

confidence: 86%

A Five-Year Survey of Cervical Cerclage at a Nigerian Tertiary Hospital

2018

JGRM

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“…In this study, the post cerclage survival rate of babies was 81%. This is comparable to that shown by Bukahri (27) but less than 90% shown by Sobande 43 , 87% by Harger (30) and by Kurup (75), which was 85%. In this study, 77% of babies had a birth weight of more than 2000g which is almost equal to that showed by Sobande which was 76.6%.…”

Section: Discussionsupporting

confidence: 80%

Cervical Cerclage;

Manzoor¹,

Shahzad²,

Sharif³

et al. 2019

TPMJ

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Introduction: In Pakistan, cervical incompetence has been recognized as the leading cause of recurrent abortions in mid trimester. The elective cerclage based on history and clinical findings applied in second trimester overcomes the risk of emergency procedure. This problem is quite common in patients visiting IUH Faisalabad. Objectives: Assess gestational age at delivery after elective cervical cerclage application in mothers with recurrent mid trimester abortions. List the immediate and late complications of cerclage. Assess the fetal outcome after cerclage. Outcome Measures: 1. Percentage of mid trimester abortion in current pregnancy. 2. Frequency of prolongation of gestational age at delivery. 3. Complications of the procedure. 4. Birth weight of the baby. 5. Percentage of live births. 6. Fetal survival rate. Study Design: Interventional: Quasi experimental study. Setting: Department of Obstetrics and Gynaecology, Teaching Hospital IUH FSD. Period: Oct 2016 to July 2018. Subjects: Fifty patients with recurrent mid trimester miscarriage due to cervical incompetence. Methods: Patients were admitted through outdoor with history of previous mid trimester abortions possibly due to cervical incompetence. USG evidence of normal pregnancy with no obvious congenital anomaly was a pre requisite for cervical cercalge. Technique used was MCDonald’s suture under general anaesthesia. Results: Effectiveness of cerclage was 90%; 78% had term deliveries, 12% preterm delivery and 5 spontaneous mid trimester abortions. There were 81% live births. The complications included cervical trauma after delivery (2%), spontaneous abortions (10%), pre term delivery (13%) and pre prom (2%). Conclusion: Elective cerclage at 12-14 wks of gestation in recurrent mid trimester abortions results in good fetomaternal outcome with almost no complications.

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“…3 Remote sequelae and genitourinary injury because of cerclage placement are rare. 4 Genitourinary fistula formation can complicate any pelvic surgery. Approximately 80% of vesicovaginal fistulas in the developed world are secondary to benign gynecologic surgery.…”

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confidence: 99%