Physical Examination Indicated Rescue Cerclage to Improve Live Birth Rate at Hung Vuong Hospital in Vietnam  

作　　者：Huynh Nguyen Khanh Trang[1] Tran Thi Ngoc Tam[1] Pham Huynh Phuc Hung[1] Hoang Thi Diem Tuyet[1] 

出　　处：《Open Journal of Obstetrics and Gynecology》2020年第3期400-408,共9页妇产科期刊（英文）

摘　　要：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.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.

关 键 词：Emergency CERCLAGE Delivery of LIVE INFANT Rate 

分 类 号：R71[医药卫生—妇产科学]