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 117
- Downloads 0
Quality and safety evaluation of a Ghanaian polyherbal product EAF-2011 for the management of superficial mycoses
Background: The widespread use of herbal medicines in recent years means that issues concerning their quality, safety and efficacy need to be answered. In the current study, the polyherbal formulation EAF-2011 used in th...
Anaemia among pregnant women at the booking clinic of a teaching hospital in south-western Nigeria
Background: Anaemia in pregnancy is a global public health challenge. It is the commonest medical disorder of pregnancy and a major cause of morbidity and mortality in most developing countries. Aim: This study aim...
Caesarean section on maternal request in north-eastern Nigeria: Women’s knowledge, perception and attitude
Background: Caesarean delivery is the most widely performed major obstetric surgery globally and the incidence is rising. Aim: To document the views of pregnant women in two tertiary institutions in Nigeria towards caesa...
Knowledge, attitude and practice of female genital mutilation among doctors and nurses in Bayelsa state, Niger-Delta of Nigeria
Background: Female genital mutilation (FGM) is a harmful traditional practice that is deep-rooted in Africa. It has been outlawed in Bayelsa state of Nigeria but there is evidence that its performance by traditional circ...
Oral pyogenic granuloma in Ghanaians: a review of cases
Background: Pyogenic granulomas, when presented late, can sometimes pose diagnostic challenge due to their remarkably large sizes. There has been no known published data among Ghanaians on this subject. Aim: To determine...