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December 2019 Vol. 7 No.12

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Othman M
AlZahrani F

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Merit Research Journal of Medicine and Medical Sciences (ISSN: 2354-323X) Vol. 7(12) pp. 478-482, December, 2019 

Copyright © 2019 Merit Research Journals
DOI: 10.5281/zenodo.3581232

Original Research Article

Emergency cervical cerclage and pregnancy outcomes; a prospective clinical trial


Dr. Mohammad Othman1* and Dr. Fatimah AlZahrani2


1Assistant Professor and Consultant of Obstetrics and Gynaecology, Faculty of Medicine, Al-Baha University, Al-Baha, KSA
2Year 1 Resident of Obstetrics and Gynaecology, King Fahad Hospital, Al-Baha, KSA

*Corresponding Author’s E-mail: mothman12399@yahoo.com

Accepted December 10, 2019




Cervical incompetence is an important contributor to preterm birth and second trimester pregnancy loss.The aim of this study was to evaluate the effectiveness and safety of emergency cervical cerclage in women with advanced cervical dilatation and bulging of fetal membranes. The study included 363 women who underwent emergency cervical cerclage because of cervix dilatation and protruding membranes in mid-trimester at Prince Meshari Bin Saud General Hospital in Baljurashi, Al-Baha area, Saudi Arabia. Pregnancy outcomes were analyzed, and revealed that the placement of emergency cerclage led to the delivery of live infants with a success rate of 84.49%. The mean interval between cerclage and delivery was 92.16±26.62 days, with a mean gestation at delivery of 35.3±4.7 weeks and a mean birth weight of 2134.69±370.37 g. No severe maternal complications such as maternal death, hematosepsis, and hysterorrhexis occurred after the operation. There were significant correlations between the pregnancy outcome and risk factors, including any presenting symptoms, cervical dilatation and post-operative white blood cell count. Emergency cervical cerclage is effective in prolonging pregnancy and improving neonatal outcome in women with cervical incompetence. It should be considered a viable option for women with a dilated cervix in mid-trimester.

Keywords: Bulging fetal membranes, Cervical dilatation, Cervical incompetence, Emergency cervical cerclage, Prolonging pregnancy









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