Cervical Cerclage to Prevent Recurrent Mid-Trimester Miscarriage- A Retrospective Study in A Private Hospital

Abstract

Background: Cervical insufficiency (CI) poses significant risks to pregnancy outcomes, including recurrent mid-trimester miscarriages and preterm births. Cervical cerclage, a primary preventive technique, aims to mitigate these risks by preserving cervical length and structural integrity. Objective: This retrospective study evaluates the effectiveness of cervical cerclage in preventing recurrent mid-trimester miscarriages. Method: Conducted over two years at a private hospital, the study analyzed 92 cases of mid-trimester cervical cerclage. Data included patient demographics, cervical parameters, and pregnancy outcomes. Statistical analysis employed descriptive statistics and odds ratios. Results: Term deliveries (45.65%) predominated over preterm (33.70%) and abortion (20.65%) outcomes. Notably, cervical length inversely correlated with preterm birth risk (odds ratio: 0.25), while cervical dilatation increased preterm birth likelihood (odds ratio: 34). Maternal complications were infrequent, with hemorrhage (3.3%), infection (1.1%), and cervical lacerations (2.1%) reported. Conclusion: Cervical cerclage demonstrates promise in preventing mid-trimester miscarriages, with term deliveries comprising the majority of successful outcomes. However, challenges persist, including the lack of standardized treatment timing and potential complications. The study underscores the importance of individualized care in managing CI and highlights the need for further research to optimize treatment protocols.