Emergency Cervical Cerclage and Pregnancy Outcomes
Cervical incompetence is a major cause of preterm delivery and pregnancy loss in the second trimester. The goal of this trial was to see if emergency cervical cerclage was efficacious and safe in women who had extensive cervical dilatation and foetal membrane bulging. The study comprised 363 women who received emergency cervical cerclage in the middle of their third trimester at Prince Meshari Bin Saud General Hospital in Baljurashi, Saudi Arabia, due to cervix dilatation and protruding membranes. The results of the pregnancy analysis revealed that emergency cerclage placement resulted in the birth of live infants with an 84.49 percent success rate. With a mean gestation of 35.34.7 weeks and a mean birth weight of 2134.69370.37 g, the mean time between cerclage and delivery was 92.1626.62 days. After the operation, no serious maternal problems such as maternal death, hematosepsis, or hysterorrhexis occurred.
The pregnancy outcome and risk variables, such as any presenting symptoms, cervical dilatation, and postoperative white blood cell count, had significant relationships. In women with cervical incompetence, emergency cervical cerclage is beneficial in extending pregnancy and improving newborn outcomes. It should be regarded a realistic alternative for women who are in the middle of their pregnancy and have a dilated cervix.
Department of Obstetrics and Gynaecology, Fakeeh College of Medical Sciences, Jeddah, Saudi Arabia.
Basil M. Othman
Al-Rayan Medical College, Madinah, Saudi Arabia.