Abstract:

Aim: Evaluation of maternal and fetal outcomes, effectiveness and reliability of the cerclage for the emergently cerclaged cases due to cervical insufficiency Materials and Methods: Clinical data from live singleton pregnancies who were diagnosed cervical insufficiency were reviewed retrospectively between the Feb 2010-Jan 2019, at Acıbadem University and Mersin University, Department of Obstetrics and Gynecology. Results: During the study period, total 29 cervical cerclage operation was performed by McDonald technique. Mean maternal age 31.82±4.449 years (21–38), mean gestational age at diagnosis and cerclage placement was 22.17±2.071 weeks (18-28). Take home baby rate was 79.3 % (n=23). Mean time interval between the cerclage and the birth is 9.24±5.723 weeks (0-18), mean pregnancy week during the birth is 31.4±5.02 weeks (23-39) and mean birth weight is 1873±903 g (650-3782). There was no surgical complication reported from the studied population. Thirty percent (9) of the patients were delivered by C-section. Discussion: Emergency cerclage prolongs the pregnancy duration of the women with cervical insufficiency, and has marked effects on improving the neonatal outcomes. It is thought to be an appropriate choice for the women with cervical dilatation at the earlier pregnancy weeks.

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