Frequency of Success Rate of Cervical Cerclage in Preventing Preterm Deliveries

Abstract

Objective: Determination of success rate of cervical cerclage in prevention of preterm deliveries in patients with cervical incompetence. Study Design: Case Series study. Place and Duration of Study: Study was conducted at Khyber Teaching Hospital for a period of six months from 29 March, 2018 to 29 September, 2018. Methodology: 97 pregnant women were recruited who had a history of previous miscarriages or pre-term delivery. Cervical Cerclage was performed on these patients who were then observed till delivery to ascertain the success rate of cervical cerclage in preventing pre-term deliveries in these patients. Results: In this study mean age was 30 years with SD 8.316. 63% patients were nulli para (with previous second trimester losses) and 37% patients were multi para (with previous pre-term deliveries). 78% delivered at term and 22% delivered preterm. 80% of babies delivered with good apgar score and weight greater than 2.5 kg where as 20% of babies delivered with low apgar score and weight less than 2.5kg. Overall success rate of cervical cerclage was 80%. Conclusion: Our study concluded that success rate of cervical cerclage was 80% in preventing pre-term deliveries in patients having cervical incompetence. Keywords: Cervical Cerclage, Pre-term deliveries, Cervical incompetence, Trans-vaginal