Obstetric outcome of cervical cerclage among pregnant women in Mansoura University Hospital

Abstract

Objective: To evaluate the obstetric outcome of pregnancies managed by cervical cerclage at Mansoura University Hospital (MUH). Methods: Observational study of 50 pregnant women with cervical cerclage in the index pregnancy who attended to MUH during the period from July 2019 through December 2021. Results: The mean gestational age at cerclage insertion was approximately 13 weeks and the mean gestational age at cerclage removal was approximately 31 weeks. Twin pregnancy was the most common indication of cerclage placement (34%), followed by previous MTM (26%), triplet pregnancy (16%), congenital malformation of uterus (14%) and previous PTB (10%). The commonest causes of cerclage removal was spontaneous PTB (38%) followed by PPROM (30%), planned removal at term (22%) and spontaneous miscarriage (10%). Twin pregnancies have more incidence of complications (40.9%) than singletons (26.3%) and triplets (11.1%). Twin gestations were of pregnancy before 28 weeks (P = 0.016). Birth weight conception (P = 0.001) and type of pregnancy (P = 0.001). Conclusion: Planned placement of cervical cerclage in MUH is mainly either history-indicated and/or prophylactic, especially in multifetal gestations. It appears to be effective in reducing the incidence of MTM and PTB in high risk cases.