Abstract

ABSTRACT Our objective was to determine the pregnancy outcome in women who underwent a Shirodkar cerclage following a failed McDonald procedure in previous pregnancy. The study included 62 women who underwent an elective Shirodkar procedure between week 9 and week 15 of their singleton pregnancies. They had all failed to complete 34 weeks of gestation in their previous pregnancy despite the use of a McDonald cerclage. Complications observed included premature contractions in 18 patients (29.0%), preterm premature rupture of the membranes (PROM) in 7 (11.3%), vaginal bleeding in 6 (9.7%), chorioamnionitis in 2 (3.2%), cervical laceration in 1 (1.6%), and a single case (1.6%) of rupture of the uterus. Spontaneous abortion ( 37 weeks gestation) in 41 (66.1%) of the women. The fetal survival rate was 88.7% (55 viable newborns). I...

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