The Use of Mersilene Tape in Transabdominal Cerclage

2017 ◽  
Vol 752 ◽  
pp. 64-70
Author(s):  
Claudia Mehedințu ◽  
Ana Maria Rotaru ◽  
Marina Antonovici ◽  
Mihaela Plotogea ◽  
Elvira Brătilă ◽  
...  
Keyword(s):  
Biomechanical Properties ◽  
Uterine Wall ◽  
Medical Procedures ◽  
Genital Tract Infection ◽  
Uterine Contractions ◽  
Cervical Incompetence ◽  
Intrauterine Pressure ◽  
Uterine Growth ◽  
Mersilene Tape ◽  
Lower Genital Tract Infection

Aim: The purpose of this article is to show the use and utility of mersilene tape in medical procedures, such as transabdominal cerclage (TAC). Material and methods: Based on their biomechanical properties, we present our experience with mersilene tape used as treatment for cervical incompetence. Cervical insufficiency or cervical incompetence is defined as asymptomatic cervical shortening and dilatation with the absence of detectable uterine contractions. The mechanical properties of cervical tissue are derived from its extracellular matrix and its most important constituent the fibrillar collagen, alongside other constituents such as proteoglycans, hyaluronic acid, elastin, and water. In the absence of the uterine contractions, the cervix is loaded by intrauterine pressure (including the weight of the growing fetus and amniotic sac), the gravity as well as passive pressure from the uterine wall. These forces also depend on the support action of pelvic floor structures and abdominal wall. The static load resulting from the combination of uterine growth, hydrostatic pressure and gravity seems to be the dominant determinants that cause cervical shortening. The placement of the mersilene tape acts as a barrier between the intrauterine pressure and the cervix. The main advantage of the TAC procedure is the placement of the nonabsorbable suture (mersilene tape at the level of the internal os, avoiding the placement of a vaginal foreign body and subsequently increasing the risk of ascending lower genital tract infection, decreased incidence of slippage, and the ability to leave the stitch in place between pregnancies. Results: The follow-up was without complications regarding the pregnancies treated with transabdominal cerclage. None of the pregnancies terminated prematurely as related to the presence of the tape, but it necessitates to be performed a caesarean section for delivery. Conclusions: Mersilene tape is safe and useful in different medical procedures, including transabdominal cerclage during pregnancy.

scholarly journals The influence of associated infection on the development of miscarriage

2020 ◽  
Vol 19 (1) ◽  
pp. 37-41
Author(s):  
S. M. Yasnikovska ◽  
A. V. Hoshovska
Keyword(s):  
Tract Infection ◽  
Pregnant Women ◽  
Genital Tract ◽  
Vaginal Microbiota ◽  
Negative Effects ◽  
Genital Tract Infection ◽  
Pregnancy And Childbirth ◽  
Lower Genital Tract ◽  
Lower Genital Tract Infection ◽  
Tract Infections

The article presents the results of a study of the vaginal microbiota in women with miscarriage in early term of gestation. It has been established that pregnant women with lower genital tract infections are at high risk for perinatal and postpartum complications. In most of them (76.0 %) there was a lack of Preconception Prevention with the study of the vaginal biotope. In pregnant women at risk of miscarriage on the background of lower genital tract infection, microbial and viral associations are more common than monoinfection. Taking into account the negative effects of lower genital tract infection on the further course of pregnancy and childbirth and the condition of newborns, at the stage of Preconception Prevention should be studied vaginal microbiota. During pregnancy, it is necessary to conduct a thorough examination of women with timely identification of risk factors for miscarriage, which include associated infections, and their adequate correction.

scholarly journals Bacterial Vaginosis in Pregnant Women at Maternal and Child Hospital, West Java, Indonesia, 2018: High Prevalence in Asymptomatic Females

2019 ◽  
Vol 11 (2) ◽  
pp. 53-59
Author(s):  
Pati Aji Achdiat ◽  
Rasmia Rowawi ◽  
Irma Fakhrosa ◽  
Hendra Gunawan ◽  
Reti Hindritiani ◽  
...  
Keyword(s):  
Bacterial Vaginosis ◽  
Pregnant Women ◽  
Genital Tract Infection ◽  
West Java ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Human Immuno Deficiency Virus ◽  
Lower Genital Tract Infection ◽  
Child Hospital

Abstract Bacterial vaginosis (BV) is a lower genital tract infection of reproductive women which can occur in pregnant and non-pregnant women. BV in pregnant women can increase the risk of complications, including increased incidence of abortion, premature rupture of membranes, preterm birth, and babies with low birth weight. BV can also increase the risk of acquired sexually transmitted infection (STI) and their further transmission, including human immuno-deficiency virus (HIV). Each country has a different prevalence of BV. The previous report of BV prevalence in pregnant women was submitted in Jakarta, Indonesia in 1990. Until now, there is no update data of BV in pregnant women, especially in West Java, Indonesia. Thus, we conducted a descriptive observational study using a cross-sectional design and a consecutive sampling method in June 2018. This study included 60 pregnant women in the Maternal and Child Hospital, Bandung, Indonesia. Out of 60 participants, seven (11.67%) participants had BV according to Amsel criteria. Asymptomatic BV was diagnosed in all participants. This study shows the prevalence of BV in pregnant women in the Maternal and Child Hospital in Bandung during June 2018. The assessment of screening BV should be recommended as a routine workup. To avoid complications in pregnant women and infants it should not be waited for the symptoms to reveal.

Predictive value of the clinical diagnosis of lower genital tract infection in women

2004 ◽  
Vol 190 (4) ◽  
pp. 1004-1008 ◽  
Author(s):  
Daniel V Landers ◽  
Harold C Wiesenfeld ◽  
R Phillip Heine ◽  
Marijane A Krohn ◽  
Sharon L Hillier
Keyword(s):  
Tract Infection ◽  
Clinical Diagnosis ◽  
Predictive Value ◽  
Genital Tract ◽  
Genital Tract Infection ◽  
Lower Genital Tract ◽  
Lower Genital Tract Infection

scholarly journals OP02.10: Lower genital tract infection by HPV: correlation with HPV-induced trophoblastic dysfunction in late preterm birth

2014 ◽  
Vol 44 (S1) ◽  
pp. 67-67
Author(s):  
P. Breton Hernandez ◽  
M. Garcés Valenzuela ◽  
E. Moreno Romea ◽  
C. Paules Tejero ◽  
R. Benito ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Tract Infection ◽  
Genital Tract ◽  
Late Preterm ◽  
Genital Tract Infection ◽  
Late Preterm Birth ◽  
Lower Genital Tract ◽  
Lower Genital Tract Infection

scholarly journals Predictive Risk Factors for Mild and Severe Germinal Matrix Hemorrhage and Associated Neurodevelopmental Prognosis: A Retrospective Study

2021 ◽  
pp. 186-194
Author(s):  
Wejdan Alhakeem ◽  
Afnan Almuhana ◽  
Haya Alshahrani ◽  
Moneerah Alkhateeb ◽  
Zahra Alsaihati
Keyword(s):  
Risk Factors ◽  
Genital Tract ◽  
Neonatal Intensive Care ◽  
Birth Trauma ◽  
Genital Tract Infection ◽  
Neurodevelopmental Outcomes ◽  
Germinal Matrix ◽  
Lower Genital Tract ◽  
Lower Genital Tract Infection ◽  
Grade Iii

Aims: To compare commonly mentioned risk factors between mild germinal matrix hemorrhage-Intraventricular hemorrhage (GMH-IVH) (grade I & II) and severe GMH-IVH (grade III & IV) and to study the long-term neurodevelopmental outcomes in relation to severe GMH-IVH. Study Design: Retrospective cohort study. Place and Duration of Study: Neonatal intensive care unit, King Fahad University Hospital, between 2000 and 2020. Methodology: We included 54 premature infants at ≤36 weeks of gestation and with birth weight <2500g admitted to our neonatal intensive care unit. Premature neonates were divided into two subgroups: mild GMH-IVH (grade I and II) and severe (grade III and IV). We investigated the risk factors and neurodevelopmental outcomes in association with GMH-IVH. Results: Amnionitis (OR: 1.190, 95% CI 0.515-2.749), lower genital tract infection (OR: 1.190, 95% CI 0.515-2.749), antenatal infection (OR: 1.406, 95% CI 0.866-2.283), gestational diabetes mellitus (OR: 1.815, 95% CI 1.410-2.337), usage of inotropes (OR: 1.731, 95% CI 1.348-2.222), APGAR score <7 (OR: 0.806, 95% CI 0.493-1.316), birth trauma (OR: 1.767, 95% CI 1.396-2.236), catecholamines (OR: 1.470, 95% CI 0.903-2.393), intubation (OR: 1.300, 95% CI 0.686-2.464), asphyxia (OR: 1.135, 95% CI 0.718-1.794), Abnormal coagulation (OR: 1.197, 95% CI 0.756-1.896), congenital heart disease (OR: 1.727, 95% CI 1.124-2.653), low hematocrit (OR: 1.140, 95% CI 0.688-1.889), resuscitation (OR: 1,193, 95% CI 0.748- 1.904) and ventriculoperitoneal (VP) shunt as a prognosis of hydrocephalus (P-value: 0.005) all showed a higher incidence with severe GMH-IVH Conclusion: Amnionitis, lower genital tract infection, antenatal infections, GDM, usage of inotropes, APGAR score <7, birth trauma, catecholamines, intubation, asphyxia, resuscitation, abnormal coagulation parameters, congenital heart disease, low hematocrit and hydrocephalus with VP shunt were higher in severe GMH-IVH.

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