The effect of cerclage on pregnancy outcomes in cervical changes

Abstract

INTRODUCTION: We aimed to demonstrate the outcomes of cervical cerclage in order to prevent preterm births resulting in high neonatal morbidity and mortality. METHODS: The outcomes of 56 cases with McDonald cerclage application evaluated according to ACOG (American College of Obstetrics and Gynecology) criteria. The first group consisted of 32 cases in which there was no dilation in the second trimester and the second group in 24 cases with cervical dilatation less than 3 cm with cervical shortening. RESULTS: When the results of cervical cerclage were compared, it was found that the first group birth week were later (p: 0,002), the period between the cerclage and delivery was longer (p: 0,001) and birth weight were heavier (p: 0,002) than the second group. DISCUSSION AND CONCLUSION: Cervical cerclage application is a good option for to reduce recurrent pregnancy loss and preterm delivery in cervical insufficiency.

Keywords

• cervical insufficiency
• cerclage
• mcdonald suturation