Success Rate of Cervical Cerclage in Preventing Preterm Labour
|Zakkia Khan1*, Radhia Khan2 and Anwar Khan Wazir3|
|1Gynea Ward, Women and Children Hospital, Bannu, Pakistan|
|2Department of Biochemistry, Khyber Girls Medical College, Peshawar, Pakistan|
|3Department of Physiology, Khyber Girls Medical College, Peshawar, Pakistan|
|Corresponding Author :||
|Received December 04, 2014; Accepted June 17, 2015; Published June 23, 2015|
|Citation: Zakkia K, Radhia K, Anwar Khan W (2015) Success Rate of Cervical Cerclage in Preventing Preterm Labour. J Preg Child Health 2: 176. doi: 10.4172/2376-127X.1000176|
|Copyright: © 2015 Zakkia K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Objective: To determine the success rate of cervical cerclage in preventing preterm deliveries in patients having cervical incompetence.
Study design: Descriptive (cross sectional) hospital based study.
Place and duration of study: Department of obstetrics and Gynecology, Khyber Teaching Hospital Peshawar. One year from 1st January 2013 to 1st January 2014.
Methodology: Seventy five subjects were selected by consecutive (non-probability) sampling technique. The sample size was calculated by keeping success rate of cervical cerclage as 73.3%, confidence level of 95% and precision of 10%. All the patients were having a history of two or more recurrent midtrimester abortions or preterm deliveries and were subjected to cervical cerclage (McDonald suture). Age, gravidity, parity of the patients, gestational age at delivery, weight of the baby and apgar score was determined. Success rate of cervical cerclage was calculated.
Results: The average age, Gravida and para of the patients were 28.35± 3.96, 5.33±2.36 and was 1.7±1.46 respectively. Results were evaluated on the basis of pregnancy prolongation. Most of them (69%) delivered at term (>37 weeks), 17.3% had preterm deliveries (28-37weeks) and 17.3% had abortions (12-28weeks). Sixty four percent of babies had birth weight of 2.5kg or more and 36.0% had birth weight of less than 2.5kg. Fetal survival rate (good apgar score) was 76%. Overall success rate of cervical cerclage was 80%.
Conclusion: Application of cervical cerclage in pregnant women with previous preterm delivery reduces the preterm delivery rate at a reasonable cost with no additional risk to the mother and the fetus.