Rescue cervical cerclage in twin pregnancy with spontaneous cervical dilatation at 8-week gestation

Abstract

AbstractPremature spontaneous cervical dilatation can happen among pregnant women leading to miscarriage, preterm labor, or premature delivery. We present a case of twin pregnancy with spontaneous cervical dilatation and membranes bulging into the vagina at 8-week gestation. A 34-year-old primigravida presented to our clinic with complaints of cramping pain in the lower abdomen. Her per speculum pelvic examination showed evidence of dilated cervical os and amniotic membranes bulging through the cervix into the vagina. Her sonogram suggested a dichorionic diamniotic pregnancy of 8-week gestation. Her TVS examination revealed that the internal os was dilated. Both fetuses were alive with regular fetal heart rate. Rescue cervical cerclage by modified Shirodkar’s technique was done under general anesthesia. She was administered prophylactic antibiotics and tocolytic. She was closely followed up at regular intervals and observed for signs of chorioamnionitis. She delivered at 35 weeks of gestation with two female children with birth weights 2.3 kg and 2.1 kg, respectively.