Prediction of Outcomes for Emergency Cervical Cerclage in the Presence of Protruding Membranes | Zendy

Purnima Deb | Zendy; Nighat Aftab | Zendy; Shabana Muzaffar | Zendy

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Prediction of Outcomes for Emergency Cervical Cerclage in the Presence of Protruding Membranes

Author(s) -

Purnima Deb,

Nighat Aftab,

Shabana Muzaffar

Publication year - 2012

Publication title -

isrn obstetrics and gynecology

Language(s) - English

Resource type - Journals

eISSN - 2090-4444

pISSN - 2090-4436

DOI - 10.5402/2012/842841

Subject(s) - medicine , cervical cerclage , pregnancy , retrospective cohort study , cervix , obstetrics , tertiary level , emergency department , premature rupture of membranes , white blood cell , emergency medicine , surgery , gestational age , genetics , mathematics education , mathematics , cancer , psychiatry , biology

The aim of our study is to verify whether some maternal features are related to pregnancy outcomes of emergency cerclage when membranes are protruding through the dilated cervix. We present a retrospective review of 20 cases of emergency cervical cerclage performed over a 3-year period at Al Wasl hospital, a tertiary level centre in Dubai. Analysis shows presence of membrane prolapse with infection causing rupture of membranes, to be the strongest predictor of poor outcome. Analysis also reveals a significant association between initial white blood cell count and perinatal outcome. This information is helpful in decision making and counseling patients regarding the likely outcome.

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