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Complications of cervical cerclage in rural areas
Author(s) -
Jongen V.H.W.M.,
Roosmalen J.van
Publication year - 1997
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/s0020-7292(97)02844-0
Subject(s) - medicine , cervical cerclage , obstetrics , tanzania , pregnancy , retrospective cohort study , gestational age , singleton , surgery , genetics , environmental science , environmental planning , biology
Objective: To determine whether the outcome of pregnancies following cervical cerclage in rural Tanzania justifies its application in remote areas. Method: Retrospective review of 16 singleton pregnancies in 13 women, who underwent cervical cerclage in a rural hospital in Tanzania during 1990–1995. Results: Ten (62.5%) live children were born. Seven women (43.8%) delivered after a gestational age of 37 weeks. Severe maternal complications were encountered 5 times (31.3%): 4 severe cervical lacerations and 1 uterine rupture. Conclusion: One should be reluctant to apply cervical cerclage in remote rural areas due to the high rate of maternal complications, as patients' delay in reaching the hospital may be considerable in cases of preterm birth.