Clinical Efficacy of Emergency Cerclage for Advanced Cervical Incompetence.

Roh, Jae Sook; Jeong, Eun Hwan; Kim, Hak Soon

Original Article

Korean Journal of Obstetrics & Gynecology 1998;41(12):3001-3006.
Published online January 1, 2001.

Clinical Efficacy of Emergency Cerclage for Advanced Cervical Incompetence.

Jae Sook Roh, Eun Hwan Jeong, Hak Soon Kim

Abstract

To evaluate the clinical efficacy of emergency cervical cerclage in the treatment of advanced cervical incompetence, a prospective clinical trial was performed in 18 patients with advanced cervical incompetence at 20 to 25 weeks gestation. Modified McDonalds operation with or without transabdominal amniocentesis was used for cervical cerclage. Pregnancy was prolonged for a sufficient time to deliver viable fetuses in 56.3% of patients. The median procedure-to-delivery interval was 8.6 (range 0.1 to 20.5) weeks for the entire group, and 13.9 (range 6.5 to 20.5) weeks for 9 patients who achieved live birth. The median gestational age at delivery was 38.6 (range 28.3 to 41.0) weeks for the live infants. The median birthweight of the live infants was 3062 g (range 1050 to 3620 g). The lack of significant matemal morbidity combined with the results for the fetus-infant supports further efforts in this area.

Key Words: Advanced cervical incompetence, emergency cerclage