A Clinical Study on the Incompetent Internal Os of the Cervix.

Han, Kyung Hwan; Park, Jung Don; Han, Chi Dong

Original Article

Korean Journal of Obstetrics & Gynecology 1997;40(1):140-145.
Published online January 1, 2001.

A Clinical Study on the Incompetent Internal Os of the Cervix.

Kyung Hwan Han, Jung Don Park, Chi Dong Han

Abstract

The 68 cervical cerclage operations of incompetent internal os of the cervix(IIOC) were performed at the Taegu Catholic Medical Center from Jan. 1, 1990 to Dec. 31, 1995. The results of this study were as follows: 1. The incidence of operation for IIOC was 0.23% of total delivery. 2. Highest number of IIOC was observed in the age group of 25 to 29, and the average number of pregnancy before operation was 4.1. 3. The significant contributory factor was previous history of the induced or spontaneous abortion. 4. In all cases, cerclage method was McDonald operation. 5. The average fetal salvage rate after operation was 82.5% and from the 14th week to 16th week of gestation(43 cases), the success rate of operation was 85%. 6. The causes of operation failure were premature labor in 6 cases(55%), premature rupture of membrane in 3 cases(27%) and abortion in 2 cases(18%) in order.

Key Words: Incompetent internal Os of the cervix, McDonald operation, Fetal salvage rate