Outcomes of cervical cerclage in preventing pregnancy loss

ABSTRACT

This study was designed to know the outcome of cervical cerclage in preventing pregnancy loss in patients with cervical insufficiency. This is a prospective study. Patients with previous early pregnancy losses were included. Cervical length less than 2.5cm at 12-16 weeks was taken as an indicator of insufficiency. Cerclage was removed at 37 week and patient and neonate were followed till one week postnatal. A total of 32 patients were included in this study. Fifteen patients had emergency cerclage and 85% had elective cerclage. A total of 79% patient delivered at term and 9% had abortion. Among them 72% patients had normal vaginal delivery and others underwent ceasarean section. Maternal pyrexia was more in emergency group. Jaundice was seen in 62% of the neonates and 17% neonates had respiretory problems. Cervical cerclage has a preventive role in singleton pregnancies with short and insufficient cervix