TITLE:
Physical Examination Indicated Rescue Cerclage to Improve Live Birth Rate at Hung Vuong Hospital in Vietnam
AUTHORS:
Huynh Nguyen Khanh Trang, Tran Thi Ngoc Tam, Pham Huynh Phuc Hung, Hoang Thi Diem Tuyet
KEYWORDS:
Emergency Cerclage, Delivery of Live Infant Rate
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.10 No.3,
March
26,
2020
ABSTRACT: Emergency cerclage with advanced cervical dilatation and bulging of fetal membranes is still challenging to obstetricians.Objective:To identify the live birth rate after physical examination indicated rescue cerclage. Methods:A retrospective cohort study of 36 pregnant women, who underwent rescue cerclage at Hung Vuong hospital from January 2015 to January 2019. Selection criteria: cervical dilation 10 to 40 mm, at 20 to 30 gestational weeks. Exclusion criteria: multiple pregnancy, birth defects, pregnancy termination due to maternal or fetal indications. Results: Delivery of live infant rate was 72.22%; mean pregnancy prolongation was 42.8 ±34.15 days. Early live birth rate was 77.78%. The percentage of delivery after 34 and 37 weeks was 44.45% and 27.78%, respectively. Live birth weight was 400 to 3600g, with mean being 1878.06 ±1049.04g. No procedure-related complication was observed. Conclusions:Rescue cerclage may be an effective and safe method in prolonging pregnancy and improving neonatal outcome in women with cervical dilation 10 to 40 mm. It should be considered as a viable option for women with a dilated cervix in 20 to 30 gestational weeks. Future controlled studies are needed.