Shamshad, Yasmin Mustajab, Muhammad Jehanzaib.
Evaluation of cervical cerclage for Sonographically incompetent cervix in at high risk patients.
J Ayub Med Coll Abottabad Jan ;20(2):31-4.

Background: To determine the impact of Cervical Cerclage (CC) for prolongation of pregnancy, maternal and foetal outcome. Methods: This Descriptive cross-sectional study was conducted over a period of 2 years patients with history of two or more recurrent midtrimester abortions/preterm deliveries were included. Those with abnormal foetus, vaginal bleeding and choreoamneonitis were excluded. All patients were subjected to transvaginal sonography. Those having sonographic evidence of cervical shortening/dilatation/cone formation were subjected to McDonald suture. Age, parity, period of gestation and aetiological factors were determined. Results: Results were evaluated on the basis of pregnancy prolongation, 14–28 weeks (7.5%), 28–36 weeks (18.7%), 35–37 weeks (73.7%),vaginal delivery in (70%), instrumental (1305%), Caesarean section (17.5%),miscarriage (7.5%), prematurity (18.7%), term delivery (73.7%), prenatal death (13.7%), foetal survival rate (85.1%). No intraoperative complication found. During pregnancy premature rupture of membrane (3.7%), abruption (2.5%), severe pre-eclampsia (3.7%). During labour cervical dystocia was found in (2.5%), foetal distress (8.7%), mal-presentations (6.2%), cervical trauma (3.7%). Conclusion: We determined a high success rate of cervical cerclage on properly selected patients with sonographic evidence of cervical changes. Cervical sonography can be a valuable adjunct to clinical evaluation of these patients.

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