Description

ABSTRACT

Background Cervical cerclage helps prevent miscarriage or preterm labor caused by cervical incompetence the procedure is successful in 85% to 90% of cases. Cervical cerclage appears to be effective when true cervical insufficiency. Aim and method: This is a cross-sectional study conducted in obstetrics and gynaecology ward and outpatient clinic in Salah Al-Din teaching hospital at the period from the first of March 2018 to the end of August 2018. The convenience sample of 120 women of different ages was used in this study. Results: There was a significant association between increased marriage duration and recurrent cerclage (p=0.003). A significant association was observed between women with primary infertility and 1st cerclage (p=0.05). There was a significant association between women with a short interval between pregnancies and 1st-time cerclage (p=0.01). Shorter Gestational age (GA) of previous pregnancy was significantly associated with 1st-time cerclage (p=0.01), no significant difference was observed between pregnant women with 1st cerclage and those with the previous cerclage regarding pregnancy outcomes and mode of delivery. There was a significant association between infection complication and 1st cerclage (p=0.01). Conclusion: Regarding the relationship between cerclage indications and outcome, a significant association was observed between miscarriage outcome and history depending on cerclage (p=0.02). No significant difference was observed between pregnant women with different indications for cerclage regarding the mode of delivery.

Keywords: Miscarriage outcome, History Factor, Cerclage, Gestational Age