Servikal Yetmezlikte Serklajın Önemi

Abstract

Objective: To evaluate the prophylactic cerclage efficiency due to cervical incompetence. Methods: Twenty-five prophylactic cervical cerclage procedures have been performed because of cervical incompetence and a total of 88,814 deliveries were identified during the study period. The mean age of patients included in the study was 29.8±5.7 years, while the mean cervical cerclage procedure week was 13.6±1.80. At least two second-trimester pregnancy losses were registered from the obstetric history of 19 patients. Nine-teen patients had reached to term. Live deliveries were registered in 24 patients and 22 babies survived. Results: The cases of prophylactic cervical cerclage between January 2007 and December 2010 were evaluated. The number of deliveries at centers where the cervical cerclage procedure was performed was identified. Singleton pregnancies were included in the study. Patients were evaluated in terms of pregnancy-week at the time of the cerclage procedure, and the week of delivery. Information about the delivery-week and fetal viability concerning pregnancies that were subjected to cervical cerclage were obtained by phone. Conclusion: Prophylactic cervical cerclage is beneficial in patients diagnosed with cervical incompetence.