Feto-martenal outcome of diabetic pregnancies at the University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

Ikimalo, JI; Onwuchekwa, AC; Izuchukwu, KE

doi:10.4314/phmedj.v3i2.45238

Cited by 7 publications

(9 citation statements)

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“…There are several reported cases of success with cervical cerclage in preventing mid-trimester pregnancy losses and preterm labour. However, there still exist doubts as to the real value and place of cerclage in managing recurrent pregnancy loss due to cervical incompetence [18]. In a met analysis of randomized control trials, there was no statistical difference in pregnancy outcome between intervention and non-intervention groups [19].…”

Section: Discussionmentioning

confidence: 99%

Pregnancy Outcomes Following Emergency Cervical Cerclage

Ojabo¹,

Adesiyun²,

Hembah-Hilekaan³

et al. 2014

OALib

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Background: The pregnancy outcome following cervical cerclage for women with cervical incompetence is generally favourable. However, the outcome for emergency cerclage is less favourable. Methodology: A retrospective analysis of the case notes of pregnant women who underwent emergency cervical cerclage from January 2007 until December 2010 at Garkuwa Hospital and Sheehan Hospital was performed. Results: There were a total of 56 cases of cervical cerclage comprising 46 elective and 10 emergency cervical cerclage respectively. The procedure prolonged pregnancy in all the patients with the mean duration of 38 days. The outcome for emergency cerclage was 3 stillbirths (IUFD) and 7 live births (6 survived with 1 early neonatal death). Neonatal outcome was good if the initial cervical dilatation was 4 cm or less. Conclusion: Favourable outcomes should be expected in carefully selected cases and all patients should be informed of the survival rates before undergoing this procedure.

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Section: Discussionmentioning

confidence: 99%

Pregnancy Outcomes Following Emergency Cervical Cerclage

Ojabo¹,

Adesiyun²,

Hembah-Hilekaan³

et al. 2014

OALib

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“…The study by Ikimalo et al showed a miscarriage rate of 9.4 %, a preterm birth rate of 21.8 % and a term birth rate of 68.8 % 15 . Similarly, in our study we experienced 15.1% miscarriages, 34% preterm births and 50% of patients delivered at term.…”

Section: Discussionmentioning

confidence: 95%

Evaluation of the Impact of Second Trimester Cervical Cerclage on Perinatal Outcomes: The Experience of a Single Tertiary Centre

Aydın Şenel

2023

Adv Res Obstet Gynaecol

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Objectives: The aim of this study is to evaluate the results of patients who underwent cervical cerclage and the contribution of this procedure to the continuation of pregnancy. Materials and Methods: The records of patients who underwent cervical cerclage with McDonald method in the perinatology clinic of Başakşehir Çam ve Sakura City Hospital between October 2021 and September 2022 were evaluated retrospectively. The study included 58 cases diagnosed with cervical insufficiency in which cerclage was performed between the 14th and 25th weeks of pregnancy. According to the cerclage indication, patients were divided in two groups as elective cerclage (with history indication) and emergency cerclage (with physical examination and ultrasonography indication). Demographic characteristics, pregnancy and neonatal outcomes of the cases were recorded. Results: Out of the 58 cases included in the study, 57 of them were singleton pregnancies, and one was a twin pregnancy. The patients' mean age was 29.7±5.3 years. The elective cerclage group consisted of 23 cases and the emergency cerclage group consisted of 35 cases. Among the patients applied cerclage, 8 (15.1%) delivered before 24 weeks, 5 (9.4%) delivered between 25-28 weeks, 3 (5.7%) delivered between 29-32 weeks, 10 (18.9%) delivered between 33-36 weeks, and 27 (50.9%) delivered at 37 weeks or later. Elective cerclage patients had a lower mean gestational age (15.6±2.5 weeks) compared to emergency cerclage patients (20.9±2.7 weeks), and the interval for elective cerclage (17.1±7.5 weeks) was statistically longer than that for emergency cerclage (12.6±6.9 weeks) (p: 0.031). Conclusion: In our study, it has been observed that both elective and emergency cerclage in patients with cervical insufficiency extend the duration of pregnancy, and reduce the incidence of second-trimester loss and preterm birth.

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“…The major finding in our study was the success rate of 79.3% following cervical cerclage. Most studies have similar success rate (Ikimalo et al, 2012;Adewole et al, 2018;Okusanya & Isabu, 2015). This is a major pointer to the effectiveness of cervical cerclage in preventing midtrimester pregnancy loss and preterm labour.…”

Section: Discussionmentioning

confidence: 96%

“…Other school of thoughts recommended insertion of history indicated cerclage following one previous midtrimester pregnancy loss (American College of Obstetrics and Gynaecology, 2014). Ultrasound has actually become a veritable tool in the diagnosis and follow-up of patients with cervical incompetence (Ikimalo et al, 2012). This is done for women who have not undergo history indicated cerclage but are on follow-up with serial sonographic surveillance (RCOG Green top guidelines, 2005).…”

Section: Introductionmentioning

confidence: 99%

The Indication for Cervical Cerclage and Pregnancy Outcome in a Teritiary Hospital in South-South Nigeria: A Five Year Review

Allagoa

Agbo

2019

ESJ

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Background: Cervical incompetence is a major cause of second trimester miscarriage. Recurrent pregnancy loss in the second trimester is associated with significant distress. However, there should be a justifiable indication before a cerclage is inserted. There is no documentation of the indication of cervical cerclage and pregnancy outcome in Yenagoa, southsouth Nigeria. Objectives: This paper focuses on documenting the indication and obstetric outcome following cervical cerclage insertion at the Federal Medical Center Yenagoa, Bayelsa State. Methodology: A 5 year retrospective study was carried out in women who had cervical cerclage for cervical incompetence in the Federal Medical Centre, Yenagoa. The study was conducted from the 1 st of January 2014 to 31 st of December 2018. All the case files of patients who had cervical cerclage were retrieved and reviewed. Results: A total of 41 patients had cervical cerclage. The commonest indication for cervical cerclage insertion was history indicated cerclage 59.4%. This was followed by ultrasound indicated cerclage 28.1% and rescue cerclage accounting for 12.5%. All patients employed McDonald's method of cervical cerclage. The position of the knot was in 12 0' clock position in 53.1% of the patients and in the 6 0'clock position for 46.9% of the patients. The success rate following insertion of cerclage was 79.3%. The mode of deliveries was vaginal in 90.6% of the patients and 9.4% had caesarean section. Conclusion: There may be concern about the diagnosis of cervical incompetence. However, findings from this study clearly showed that the application of cervical cerclage is associated with good obstetric outcome.

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Feto-martenal outcome of diabetic pregnancies at the University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

Cited by 7 publications

References 0 publications

Pregnancy Outcomes Following Emergency Cervical Cerclage

Pregnancy Outcomes Following Emergency Cervical Cerclage

Evaluation of the Impact of Second Trimester Cervical Cerclage on Perinatal Outcomes: The Experience of a Single Tertiary Centre

The Indication for Cervical Cerclage and Pregnancy Outcome in a Teritiary Hospital in South-South Nigeria: A Five Year Review

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