Siriraj Medical Journal (May 2016)
Successful Rescue Cervical Cerclage in Patient with Advanced Cervical Dilatation in Second Trimester: A Case Report
Abstract
Background: Rescue cervical cerclage is a treatment of choice for management of cervical incompetence in the patient with advanced cervical dilatation and membranes bulging in second trimester of gestation, but this type of procedure is technically difficult and associates with high failure rate. Objective: To describe the technique of rescue cervical cerclage in a patient with advanced cervical dilatation. Methods: A 36-year-old Thai woman, gravida 1, 22 weeks and 3 days of gestation was admitted due to cervical dilatation with bulging of membranes. A successful recue cervical cerclage was performed without complication. Results: The patient delivered a healthy female infant at 33 weeks and 4 days of gestation vaginally after removal of cerclage. Conclusion: Rescue cervical cerclage is a treatment of choice for management of cervical incompetence in a patient with advanced cervical dilatation and membranes bulging in second trimester of gestation.
