Pregnancy Outcome after Cerclage for Cervical Incompetence at the University of Port Harcourt Teaching Hospital, Port Harcourt
Abstract
Cervical incompetence is often associated with mid trimester pregnancy losses and preterm labour. cervical cerclage to prevent miscarriage and preterm labour is practiced world wide. The objective of this study was to document the feto-maternal outcome following cervical cerclage for cervical incompetence. The study reviewed all case files of pregnant women who had cervical cerclage for cervical incompetence between January 1, 2004 to December 31, 2008, at the University of Port Harcourt Teaching Hospital. The study found an incidence of 0.17% of cervical incompetence among the antenatal population. Following cervical cerclage, miscarriage rate was 9.4%. Preterm delivery occurred in 21.8% while term pregnancy occurred in 68.8% of the women. There is improvement in pregnancy outcome after cervical cerclage for cervical incompetence hence we recommend the insertion for true cases of cervical incompetence. (Afr J Reprod Health 2012; 16[3]: 180-184).
Résumé
L'insuffisance du col utérin est souvent associée à des pertes de grossesses du milieu du trimestre et le travail prématuré. Le cerclage du col utérin pour prévenir les fausses couches et de prématurité du travail est pratiqué dans le monde entier. L'objectif de cette étude était de documenter le résultat du fœto-maternelle à la suite du cerclage du col utérin pour l’insuffisance du col utérin. L'étude a examiné tous les dossiers des femmes enceintes qui ont eu le cerclage du col utérin pour l’insuffisance du col entre janvier 1, 2004 et décembre 31, 2008, au Centre Hospitalier Universitaire de Port Harcourt. L'étude a révélé une incidence de 0,17% de l'incompétence du col utérin chez la population prénatale. Après le cerclage du col utérin, le taux de fausses couches était de 9,4%. L'accouchement prématuré s’est produit chez 21,8% tandis que la grossesse s’est produite à terme chez 68,8% des femmes. Il y a une amélioration dans les résultats de la grossesse, après le cerclage du col utérin pour l’insuffisance du col utérin. Par conséquent, nous recommandons l'insertion pour les vrais cas d'insuffisance du col utérin (Afr J Reprod Health 2012; 16[3]: 180-184).
Keywords: Cervical incompetence, cervical cerclage, pregnancy outcome
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