RESCUE CERVICAL CERCLAGE: PREVENTION OF A PREVIABLE BIRTH

2021 ◽  
pp. 36-37
Author(s):  
D. Sruthi ◽  
V. Radhalakshmi
Keyword(s):  
Uterine Cervix ◽  
Pregnancy Loss ◽  
Recurrent Pregnancy Loss ◽  
Signs And Symptoms ◽  
Salvage Procedure ◽  
Second Trimester ◽  
Cervical Cerclage ◽  
Successful Pregnancy ◽  
In Pregnancy

Pregnancy loss at any stage is distressing especially when this happens later in pregnancy, and this further worsens when it recurs in subsequent pregnancies. The reasons for recurrent pregnancy loss and preterm delivery are diverse and multifactorial. One of the main reasons for these complications is cervical insufciency, which means the inability of the uterine cervix to retain a pregnancy in the absence of signs and symptoms of clinical contractions, or labor or both in second trimester. Rescue cervical cerclage also known as Emergency cerclage/ rescue stitch is fundamentally a salvage procedure to prolong pregnancy in women with advanced cervical dilatation or prolapsed membranes in the second +3 trimester. Here, we present a case study of a 25-year-old antenatal woman Gravida 4 Para 0 with advanced cervical changes at 20 weeks who beneted from the rescue cervical cerclage procedure to have a successful pregnancy outcome.

Recurrent pregnancy loss

2019 ◽  
Vol 13 (7) ◽  
pp. 402-408
Author(s):  
Priyanka Krishnaswamy ◽  
Rohit Arora
Keyword(s):  
Pregnancy Loss ◽  
Recurrent Pregnancy Loss ◽  
Recurrent Miscarriage ◽  
Second Trimester ◽  
Successful Pregnancy ◽  
Inherited Thrombophilia ◽  
Epidemiological Factors ◽  
Factors Influencing ◽  
Recurrent Pregnancy Losses ◽  
Male Factors

Miscarriage is defined as the spontaneous loss of a pregnancy before the fetus reaches viability; it includes all pregnancy losses from the time of conception until 24 weeks of gestation. Early miscarriages are common, occurring in 10–20% of all pregnancies, with 2% of second-trimester pregnancies being miscarried before 24 weeks of gestation. Recurrent miscarriage, defined as the loss of three or more consecutive pregnancies, affects 1% of couples trying to conceive with the chance of having two consecutive miscarriages being 5%. Clinical studies show that 3 in 4 women will have a successful pregnancy with supportive care alone. Therefore, couples should be given reassurance about their chances of a successful pregnancy in the future. In this review we look at the epidemiological factors influencing rates of miscarriage, acquired and inherited thrombophilia, genetic, anatomical, endocrine, immune, infective and male factors for recurrent miscarriage. Despite these potential causes, the majority (around 50%) of recurrent pregnancy losses remain unexplained.

scholarly journals Emergency Cervical Cerclage

2021 ◽  
Vol 10 (6) ◽  
pp. 1270 ◽  
Author(s):  
Magdalena Wierzchowska-Opoka ◽  
Żaneta Kimber-Trojnar ◽  
Bożena Leszczyńska-Gorzelak
Keyword(s):  
Premature Birth ◽  
Emergency Treatment ◽  
Pregnancy Loss ◽  
Recurrent Pregnancy Loss ◽  
Cervical Insufficiency ◽  
Second Trimester ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Cervical Cerclage ◽  
Preterm Premature Rupture

Despite the progress of medicine in the last decades, recurrent pregnancy loss, premature birth, and related complications are still a vast problem. The reasons for recurrent pregnancy loss and preterm delivery are diverse and multifactorial. One of the main reasons for these complications is cervical insufficiency, which means that the cervix is weak and unable to remain closed until the date of delivery. It manifests as painless softening and shortening of the cervix without contractions. The aim of the study was to review the available literature on rescue sutures, which are an emergency treatment in pregnancies with premature cervical dilatation and protrusion of the fetal membranes in the second trimester of pregnancy. This review confirms that emergency cerclage reduces the rate of preterm birth in patients with advanced cervical insufficiency. This procedure prolongs gestational age and improves the chances of survival of the newborn without increasing the risk of chorioamnionitis and preterm premature rupture of membranes.

The Role of Panchakarma in recurrent pregnancy loss- A case study

2018 ◽  
Vol 6 (5th) ◽  
Author(s):  
Amol Kanodje ◽  
Vijay Kumar Nawle
Keyword(s):  
Pregnancy Loss ◽  
Recurrent Pregnancy Loss ◽  
Bed Rest ◽  
First Trimester ◽  
Second Trimester ◽  
Foetal Distress ◽  
Spontaneous Pregnancy ◽  
Female Baby

Recurrent pregnancy loss is defined as three or more consecutive spontaneous losses of pregnancy. In Ayurvedic samhita “GarbhastraviVandhya” is a term for recurrent habitual abortion in the first trimester and “Garbhapata” in second trimester up to 20 weeks from the last menstrual period. Spontaneous pregnancy loss is a surprisingly common occurrence and affects 1% of couples trying to conceive. The best available data suggest that the risk of miscarriage in subsequent pregnancies is 30% after 2 losses, compared with 33% after 3 losses.1 In this case study, interpretation of cause is done on basics of Ayurvedic diagnostic parameters and management is done according to that.  Deepan, pachan, panchakarma specially Uttar vasti were planned before conception and after conception complete bed rest along with proper antenatal medicines and advices were given. There was uneventful antenatal period except foetal distress at 39.5 weeks of gestation and the patient was delivered by emergency caesarean section. A female baby with 3.1 kg birth weight was born.

Hemorrhoidectomy in the Third Trimester of Pregnancy: A Case Report of A Primipara With Twin Gestation

2020 ◽  
Vol 7 (2) ◽  
pp. 14-18
Author(s):  
Edwin Onyedikachi Chukwudi ◽  
Itekena Eugene Wakama ◽  
Ugochukwu Onyinye ◽  
Emi Membere-Otagi . ◽  
Akano Charity . ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Second Trimester ◽  
Third Trimester ◽  
Cervical Cerclage ◽  
The Third ◽  
Multiple Gestations ◽  
Male Twin ◽  
In Pregnancy

Hemorrhoids in pregnancy rarely require surgical treatment. Hemorrhoidectomy when done in pregnancy may result in complications for the mother or fetus. With multiple gestations (twin gestation in this case), the risk of these complications could be higher, more so, when done in the third rather than second trimester. We report the management of a 29yr old woman with twin gestation and in situ cervical cerclage who developed strangulated hemorrhoids at 30 weeks gestation. She had successful hemorrhoidectomy, continued her pregnancy until vaginal delivery of a healthy set of male twin neonates at 37 weeks gestation without recurrence.

scholarly journals Management of aortic aneurysm presenting during pregnancy: A case report

2018 ◽  
Vol 13 (1) ◽  
pp. 37-40
Author(s):  
Anish Keepanasseril ◽  
N Thendral ◽  
Gowri Dorairajan ◽  
Murali Subbaih ◽  
Ajith Ananthakrishna Pillai ◽  
...  
Keyword(s):  
Case Report ◽  
Aortic Aneurysm ◽  
Pregnancy Outcome ◽  
Surgical Repair ◽  
Second Trimester ◽  
Successful Pregnancy ◽  
Changes In Pregnancy ◽  
In Pregnancy

Aortic aneurysm in pregnancy is associated with higher risk of complications due to the stress induced by the physiologic changes in pregnancy. Many of the reports are concentrated on those with catastrophic outcomes or who underwent surgical repair during pregnancy/puerperium. We report a case of aortic aneurysm, who presented during the second trimester and had a successful pregnancy outcome, and discuss the various issues concerning the management during pregnancy.

scholarly journals A novel chromosomal translocation and heteromorphism in a female with recurrent pregnancy loss—a case study

2012 ◽  
Vol 29 (7) ◽  
pp. 651-656 ◽  
Author(s):  
Venkateshwari Ananthapur ◽  
Srilekha Avvari ◽  
Vinod Cingeetham ◽  
Sujatha Maddireddi ◽  
Pratibha Nallari ◽  
...  
Keyword(s):  
Pregnancy Loss ◽  
Recurrent Pregnancy Loss ◽  
Chromosomal Translocation

Double versus single cervical cerclage for patients with recurrent pregnancy loss: A randomized clinical trial

2013 ◽  
Vol 40 (2) ◽  
pp. 375-380 ◽  
Author(s):  
Jaleh Zolghadri ◽  
Masoumeh Younesi ◽  
Nasrin Asadi ◽  
Dezire Khosravi ◽  
Shabnam Behdin ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Pregnancy Loss ◽  
Recurrent Pregnancy Loss ◽  
Cervical Cerclage

scholarly journals Frontal lobe meningioma mimicking preeclampsia: A case study

2017 ◽  
Vol 10 (4) ◽  
pp. 192-194 ◽  
Author(s):  
Jinny Y Foo ◽  
Gregory K Davis ◽  
Mark A Brown
Keyword(s):  
Frontal Lobe ◽  
Clinical Course ◽  
Residual Disease ◽  
Second Trimester ◽  
Term Pregnancy ◽  
Successful Pregnancy ◽  
Left Frontal Lobe ◽  
Urgent Surgery ◽  
Appropriate Treatment

We report a case of a left frontal lobe meningioma presenting in a woman with proteinuric preeclampsia in her first term pregnancy. The patient had a background of antepartum migraines that resolved in the second trimester of pregnancy. Postpartum, she required urgent surgery and sustained convulsions after surgery. She had no residual disease and has had another successful pregnancy. This case highlights the importance of cerebral imaging in the context of an atypical clinical course of preeclampsia. Although headaches are common in pregnancy and usually benign, other, more serious, diagnoses should be considered with atypical headaches, a change in the nature of the headache, and headaches that persist despite appropriate treatment. A full neurological examination including fundoscopy to exclude papilloedema should be performed and abnormal findings require further investigation.

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