A 5 year review of pregnancy outcome and interval to delivery after cervical cerclage in north-eastern Nigeria
Journal Title: International Journal of Medicine and Biomedical Research - Year 2014, Vol 3, Issue 1
Abstract
Background: Evidences have shown the value of cerclage in reducing preterm birth in women with cervical incompetence. Aim: To document the pregnancy outcome in women with cervical incompetence after cerclage insertion and to determine the time interval to spontaneous delivery after elective removal of cerclage at term. Methods: Singleton pregnancies with cervical cerclage were reviewed in Federal Medical Centre (FMC), Gombe and FMC, Yola from 1st January, 2002 to 31st December, 2006. There were 38 patients in the study. The mean age of the patients was 27 ± 4.3 years while the mean gestational age (GA) at cerclage insertion was 15 ± 3 weeks. Outcome of pregnancy and interval to spontaneous delivery after elective removal of cerclage at term were determined. Results: Eighty nine percent had history of at least 2 mid-trimester miscarriages and only 7.9% had history of preterm birth. Mean GA at delivery was 37 ± 3 weeks and fetal salvage rate was 76.3%. Overall, twenty four (63%) of the pregnancies progressed to term. Fifteen (62.5%) of these had vaginal delivery after elective cerclage removal. The mean cerclage removal to delivery interval was 9.3 days and only 20% delivered within 48 hours after removal of cerclage. The morbidity rate following cerclage insertion was 42.1% with Preterm Premature Rupture of Membranes (PPROM) being the commonest morbidity. Conclusion: Most pregnancies in patients with cervical incompetence progressed to term following cerclage insertion and only few of them delivered within 48 hours of removal.
Authors and Affiliations
Bukar M, Mohammed H, Ibrahim SM, MoruppaJY, Buba AA, Bakari MA.
Keywords
Related Articles
- EP ID EP141888
- DOI http://dx.doi.org/10.14194/ijmbr.3.1.4
- Views 123
- Downloads 0
An evaluation of the carrying angle of the elbow joint in adolescents
Background: The acute angle produced medially when the axis of the forearm deviates laterally from the long axis of the humerus, with the arm extended and the palm facing forward, is referred to as the carrying angle. Va...
HIV/AIDS-related sexual behaviour among commercial motorcyclists in Sagamu, South-West, Nigeria
Background: Commercial motorcyclists in Nigeria are predominantly young males with high risk behaviour for HIV/AIDS. They may have become a reservoir for the continued transmission of HIV but they are often neglected in...
Hepatitis B and C Infection: should gynaecological patients be routinely screened?
Background: Hepatitis B and C viral infections constitute infectious hazards due to its risk of transmission. Aim: The study was undertaken to determine the prevalence and Risk factors of infection with Hepatitis B virus...
Knowledge and attitude towards cervical cancer screening among female students and staff in a tertiary institution in the Niger Delta
Background: Cervical cancer is a largely preventable disease. In western countries, the incidence of and mortality associated with cervical cancer has reduced substantially following the introduction of effective cervica...
Neonatal jaundice and birth asphyxia as major causes of cerebral palsy in Nigeria: are doctors’ wrong beliefs and practices part of the problem?
Background: Cerebral Palsy is permanent sequela of severe non-progressive insult to the immature brain of children. In Nigeria, kernicterus from neonatal jaundice and hypoxic ischaemic encephalopathy form severe birth as...