Fetomaternal Outcomes in Women with Cervical Cerclage Experience in Tertiary Care Hospital

Huma Mahsud; Naheed Akhtar; Zeenat Aman; Basanara Bibi

doi:10.70749/ijbr.v3i4.997

Authors

Huma Mahsud Khyber Teaching Hospital Peshawar, KP, Pakistan.
Naheed Akhtar Khyber Teaching Hospital Peshawar, KP, Pakistan.
Zeenat Aman Khyber Teaching Hospital Peshawar, KP, Pakistan.
Basanara Bibi Khyber Teaching Hospital Peshawar, KP, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v3i4.997

Keywords:

Cervical Cerclage, Preterm Delivery, Spontaneous Abortion, Cervical Insufficiency

Abstract

Background: Cervical insufficiency is a significant cause of preterm delivery and spontaneous abortion in high-risk pregnancies. Cervical cerclage, a procedure to prevent premature cervical dilation, is commonly employed in such cases. However, its effectiveness in different demographic groups remains under debate. Objective: To determine the fetomaternal outcomes in women with cervical cerclage. Study Design: Descriptive observational study. Duration and Place of Study: The study was conducted at the Department of Obstetrics and Gynaecology, Khyber Teaching Hospital (KTH), Peshawar, from May 2023 to November 2023. Methodology: A total of 166 women aged 18-40 years, with a singleton pregnancy, gestational age ≤ 28 weeks, and diagnosed with cervical insufficiency, were enrolled. Cervical cerclage was performed under spinal anesthesia using McDonald technique. Results: The mean age of participants was 29.42 ± 5.69 years, with a mean gestational age of 21.86 ± 3.61 weeks. Spontaneous abortion occurred in 11.4% of cases, while 13.9% experienced preterm delivery. No significant associations were found between age, gestational age, or parity and the outcomes of spontaneous abortion or preterm delivery (p-value > 0.05). Conclusion: Cervical cerclage is an effective procedure in improving pregnancy outcomes for women with cervical insufficiency, though it does not eliminate the risk of spontaneous abortion or preterm delivery.

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