Single-center 4-year outcomes of patients underwent cervical cerclage to prevent preterm labor

Objective: Preterm labor is a significant health problem reason. Cervical insufficiency is one of the significant reasons of this condition. Therefore, we have reviewed the outcomes of patients that we applied cervical cerclage by comparing with the literature. Methods: We retrospectively reviewed the medical files of 68 patients who referred to the Adana Application and Research Center of Baflkent University between January 2010 and June 2014. Results: Mean delivery time of the patients was 31 weeks and 6 days ± 7 weeks and 1 day, and mean birth weight was 2112±1203 g. A total of 13 patients underwent emergency cerclage. Mean waiting period in patients who underwent emergency cerclage was 9 weeks and 4 days ± 6 weeks and 4 days. Administering progesterone in addition to the cerclage presented no effect on delivery time. Conclusion: Cervical cerclage is a common obstetric procedure applied to prevent preterm labor due to cervical insufficiency. The most common procedure applied for that purpose is McDonald Cerclage. Delivery time can be delayed with cervical cerclage in selecting appropriate patient. While progesterone use only can be effective in preterm labor treatment, the synergic effect of progesterone with cerclage is not observed in concurrent use with cerclage.