The efficacy of cervical cerclage.
Author
Bassaw B; Roopnarinesingh S
Address
Mount Hope Women's Hospital, Trinidad.
Source
West Indian Med J, 1990 Mar, 39:1, 39-42
Abstract
A retrospective study of the outcome of pregnancy
in 187 women with cervical cerclage revealed a
three-fold increase in the crude perinatal survival
rate. The McDonald and Shirodkar techniques produced
comparable results. Mersilene was as effective as
black silk. A significant number of pregnancies
with cerclage insertion prior to 14 weeks ended in
spontaneous abortions. Postcerclage morbidity was minimal,
and abdominal delivery was indicated in only four patients
for cervical dystocia. The continued use of this procedure,
for selected cases, is justified.
