Physical Examination Indicated Rescue Cerclage to Improve Live Birth Rate at Hung Vuong Hospital in Vietnam

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DOI: 10.4236/ojog.2020.1030036    553 Downloads   1,602 Views  

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 3600 g, with mean being 1878.06 ± 1049.04 g. 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.

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Trang, H. , Tam, T. , Hung, P. and Tuyet, H. (2020) Physical Examination Indicated Rescue Cerclage to Improve Live Birth Rate at Hung Vuong Hospital in Vietnam. Open Journal of Obstetrics and Gynecology, 10, 400-408. doi: 10.4236/ojog.2020.1030036.
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