Effects of vaginal microbiota and cervical cerclage on obstetric outcomes of twin pregnancies with cervical incompetence: a retrospective study

2021 ◽  
Author(s):  
Xuan Zhou ◽  
Xiao-xue Li ◽  
Yi-meng Ge ◽  
Shao-yang Lai ◽  
Luo-qi Zhou ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Vaginal Microbiota ◽  
Obstetric Outcomes ◽  
Cervical Cerclage ◽  
Cervical Incompetence ◽  
Twin Pregnancies

scholarly journals Obstetric outcomes of twin pregnancies at advanced maternal age: A retrospective study

2018 ◽  
Vol 57 (1) ◽  
pp. 64-67 ◽  
Author(s):  
Caixia Zhu ◽  
Malie Wang ◽  
Gang Niu ◽  
Juan Yang ◽  
Zilian Wang
Keyword(s):  
Retrospective Study ◽  
Maternal Age ◽  
Advanced Maternal Age ◽  
Obstetric Outcomes ◽  
Twin Pregnancies

“PREGNANCY OUTCOME IN CERVICAL INCOMPETENCE: COMPARISON OF COMBINED USE OF CERCLAGE AND ORAL PROGESTERONE VERSES HIGH DOSE OF VAGINAL PROGESTERONE”

2021 ◽  
pp. 150-153
Author(s):  
Preeti Gupta ◽  
Uma Jain ◽  
Jayshree Chimrani
Keyword(s):  
Mode Of Delivery ◽  
Neonatal Morbidity ◽  
Maternity Hospital ◽  
Cervical Length ◽  
High Dose ◽  
Spontaneous Preterm Birth ◽  
Cervical Cerclage ◽  
Cervical Incompetence ◽  
Vaginal Progesterone ◽  
Progesterone Supplementation

INTRODUCTION- Cervical insufciency, earlier known as cervical incompetence, is the inability of the cervix to maintain pregnancy till term due to structural or functional defects. Approximately 16.25% of second-trimester pregnancy losses and 2% of premature deliveries are due to cervical incompetence. OBJECTIVE- The purpose of this study was to compare the outcome of pregnancy in patients who underwent early (12-16 weeks) cervical cerclage along with oral progesterone supplementation versus those having remedied with high dose intravaginal progesterone supplementation. MATERIAL AND METHODst This retrospective study was conducted in a maternity hospital in Gwalior from 1 January 2018 to th 30 June 2021. Comprehensive history, thorough clinical examination, laboratory investigations, ultrasonography measurement of cervical length, mode of delivery, gestational age at the time of delivery, neonatal outcome, NICU admission, and other parameters were collected from the medical les. patients were divided into two groups. Ÿ Group 1(N-49) – Those who were remedied with high-dose vaginal progesterone supplementation continued uptil 34 wks of gestation. Group 2 (N-49) – Those who underwent Mc Donald type of cervical encerclage at 12-16 weeks along with oral progesterone (10 mg Duphaston twice daily dose) supplementation continued up till 34 weeks of gestation. RESULT- In our study, in the cervical cerclage group, only (4.1%) patients were delivered before 34 weeks while in the vaginal progesterone group (18.4%) patients were delivered before 34 weeks. In the cervical cerclage group (53.1%) patients were delivered between 34-37 weeks while in the vaginal progesterone group, (44.9%) of the patient delivered between 34-37 weeks. In the cervical cerclage group, the cesarean section rate was lower than only the vaginal progesterone group and admission to NICU of babies was also less (22.4%) in this group in comparison to the vaginal progesterone only group (36.7%). CONCLUSION- Our study showed that cervical cerclage plus oral progesterone supplementation in women with extremely shortened cervix signicantly decreased overall spontaneous preterm birth rates, prolonged pregnancy latency, and decreased the overall neonatal morbidity and mortality and is more effective than the vaginal progesterone group.

scholarly journals Pregnancy Outcome after Cerclage for Cervical Incompetence at a Private Hospital of Dhaka

2017 ◽  
Vol 12 (2) ◽  
pp. 78-81
Author(s):  
Shafeya Khanam ◽  
Maliha Rashid ◽  
Ayesha Siddika Purobi ◽  
Zebunnessa Parvin ◽  
Sanjoy Kumar Das ◽  
...  
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Fetal Loss ◽  
Cervical Dilatation ◽  
Cervical Insufficiency ◽  
Miscarriage Rate ◽  
Cervical Cerclage ◽  
Cervical Incompetence ◽  
Obstetric Population

Miscarriage, particularly recurrent mid-trimester miscarriage is a distressful condition. This form of miscarriage and preterm birth appear to have some etiologies. An important etiology is cervical incompetence that describes a disorder in which painless cervical dilatation leads to recurrent second trimester pregnancy losses. Every year more than 10 million preterm birth occurs and more than 1 million baby die from this common complication of pregnancy. The incidence of true cervical insufficiency is estimated at less than 1% of the obstetric population. In the index pregnancy, findings indicative of possible cervical insufficiency include cervical funneling, cervical shortening, and overt cervical dilatation. The main objective of the study was to explore the benefit from cervical cerclage in pregnant women with cervical incompetence. This is a retrospective observational study conducted over a period of twelve months. All cases delivered in Central Hospital were assisted by consultant obstetricians, in which 16(61.5%) out of 26 cases were delivered by caesarean section. Miscarriage rate was 11.53%. Out of the caesarean deliveries 2(12.5%) were at term and 14(87.5%) were at preterm. In this study 3(21.42%) babies born at 32nd and 33rd weeks, 6(42.85%) at 34th week and 2(14.28%) were at 35th week. There was no fetal loss. Extreme low birth weight was only one, 7(43.75%) of the babies had normal body weight for the area of study, 8 babies (50%) had low birth weight. The cervical cerclage procedure therefore should be available more widely to benefit those patients with proven or strongly suspected cervical incompetence.Faridpur Med. Coll. J. Jul 2017;12(2): 78-81

scholarly journals Role of Cervical Cerclage and Vaginal Progesterone in the Treatment of Cervical Incompetence with/without Preterm Birth History

2016 ◽  
Vol 129 (22) ◽  
pp. 2670-2675 ◽  
Author(s):  
Shao-Wei Wang ◽  
Lin-Lin Ma ◽  
Shuai Huang ◽  
Lin Liang ◽  
Jun-Rong Zhang
Keyword(s):  
Preterm Birth ◽  
Cervical Cerclage ◽  
Birth History ◽  
Cervical Incompetence ◽  
Vaginal Progesterone

scholarly journals Obstetric Outcomes in Older Primiparae with Dichorionic Twin Pregnancies

2007 ◽  
Vol 3 (4) ◽  
pp. 179-182
Author(s):  
Miwa Igarashi ◽  
Nozomi Ouchi ◽  
Tomohiko Matsuhashi ◽  
Chiaki Nagayama ◽  
Hidehiko Miyake ◽  
...  
Keyword(s):  
Obstetric Outcomes ◽  
Twin Pregnancies

scholarly journals Obstetric outcomes of women referred for delivery to a tertiary hospital in northern Tanzania– a descriptive retrospective study based on a hospital birth registry

2020 ◽  
Author(s):  
Carolyn Lissu ◽  
Helena Volgsten ◽  
Festu Mazuguni ◽  
Eusebious Maro
Keyword(s):  
Retrospective Study ◽  
Pregnant Women ◽  
Tertiary Hospital ◽  
Health Facilities ◽  
Obstetric Outcomes ◽  
Birth Registry ◽  
Maternal Deaths ◽  
Hospital Birth ◽  
Northern Tanzania ◽  
Lower Health

Abstract Background: Maternal mortality remains a great challenge in a low-income country like Tanzania, despite global and national efforts to improve women’s reproductive health. Timeliness and appropriateness of referral from a lower- to higher-level health facility comprise an important factor for the obstetrics outcome for pregnant women. This study aimed to determine the obstetric outcomes, such as maternal deaths, of women referred to KCMC, a tertiary hospital in northern Tanzania. Methods: A descriptive retrospective study based on a hospital birth registry was conducted, using consecutive stored data on pregnant women referred while in labor and managed at the KCMC tertiary hospital in northern Tanzania between the years 2000 and 2015. All referred pregnant women whose labor status information was missing during admission were excluded from the study. Results: During the study period, a total of 53662 deliveries were managed at KCMC. Among these, 6066 women were referred from lower health facilities, with 4193 (69.2%) of them being referred while in labor. The main reason for referral was poor progress of labor (31.0%), followed by prolonged labor (27.1%) and obstructed labor (19.5%). For 1859 (44.6%) women, delivery was by caesarean section. A total of 292 maternal deaths occurred between 2000 and 2015. Of these, almost a quarter (22.6%) occurred in women referred from other health facilities while in labor. Conclusions: Most of the maternal complications during labor and delivery were prevalent among women referred from lower health facilities. This underscores the need to strengthen lower health facilities’ ability to detect complications in timely manner and provide effective emergency obstetric care, as well as to refer women to higher-level facility.

scholarly journals OP07.02: Outcomes of cervical cerclage in twin pregnancies complicated by cervical shortening

2018 ◽  
Vol 52 ◽  
pp. 82-82
Author(s):  
K. Narang ◽  
X. Pham ◽  
C. Nkemeh ◽  
V. Romero
Keyword(s):  
Cervical Cerclage ◽  
Twin Pregnancies
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