Outcomes of Cervical Cerclage in KAMC-NGHA Jeddah, A Retrospective Cohort Study
Abstract:
Background: Cervical cerclage “Suture” is a surgical procedure where a stitch is placed to encircle the cervix to enforce it and prevent its dilatation prematurely. It prevents prematurity and pregnancy loss, but on the other hand, has numerous complications. Overall, there is no strong evidence approved of the benefit of cervical cerclage.
Objectives: This study is aimed to evaluate trends in cervical cerclage indications, outcomes, and associated complications.
Study: This is a retrospective cohort study with a sample size of 36 patients done at King Abdullah International Medical Research Center (KAMC-J) from January 2016 to February 2019
Result: We found that 61.1% of the cervical cerclage cases had spontaneous vaginal delivery (SVD), 30.6% had emergency caesarean section (CS) and 8.3% had elective CS, while no one had instrumental delivery, Furthermore, most of the cases had no complication (69.4%) and 19.4%, 5.6%, 2.8%, had preterm premature rupture membranes (PPROM) cervical laceration, and vesicovaginal fistula, respectively, while no one had labor dystocia. Moreover, 25 % of neonates needed neonatal intensive care unit (NICU) and there was no significant relationship between the timing of cervical cerclage and the need for neonatal admission to NICU (p≥0.05), GA at delivery, type of delivery, whether it was induced or not, and complications (p≥ 0.05).
Conclusion: Cervical cerclage is associated with a high rate of term delivery, good neonate outcome, and a low rate of complication.
