Abstract
SummaryThe outcome of pregnancy was reviewed in 148 patients with 158 cervical circlage operations during pregnancy. Thirty per cent of the patients had had previous cervical surgery. There were no significant complications following circlage. The fetal salvage rate after circlage was 74-1 per cent in patients with a previous fetal survival of 34-6 per cent. There was no difference in pregnancy outcome between patients who had McDonald circlage and those who had Shirodkar sutures, nor was there any difference in outcome when Mersilene tape or Mersilk was used as suture material. Cervical circlage was associated with a higher incidence of caesarean section than in the population in general, mainly due to prematurity. The fetal salvage rate and absence of complications support our liberal selection criteria for cervical circlage, even though laxity of the criteria means that a number of women without cervical incompetence are subjected to the procedure.
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