Physical Examination Indicated Rescue Cerclage to Improve Live Birth Rate at Hung Vuong Hospital in Vietnam ()
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.
Share and Cite:
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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