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Double versus single cervical cerclage for patients with recurrent pregnancy loss: A randomized clinical trial
Author(s) -
Zolghadri Jaleh,
Younesi Masoumeh,
Asadi Nasrin,
Khosravi Dezire,
Behdin Shabnam,
Tavana Zohre,
Ghaffarpasand Fariborz
Publication year - 2014
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12201
Subject(s) - medicine , cervical cerclage , pregnancy , cervical insufficiency , gestation , gestational age , randomized controlled trial , obstetrics , surgery , genetics , biology
Aim To compare the effectiveness of the double cervical cerclage method versus the single method in women with recurrent second‐trimester delivery. Method In this randomized clinical trial, we included 33 singleton pregnancies suffering from recurrent second‐trimester pregnancy loss (≥2 consecutive fetal loss during second‐trimester or with a history of unsuccessful procedures utilizing the M c D onald method), due to cervical incompetence. Patients were randomly assigned to undergo either the classic M c D onald method ( n = 14) or the double cerclage method ( n = 19). The successful pregnancy rate and gestational age at delivery was also compared between the two groups. Results The two study groups were comparable regarding their baseline characteristics. The successful pregnancy rate did not differ significantly between those who underwent the double cerclage method or the classic M c D onald cerclage method (100% vs 85.7%; P = 0.172). In the same way, the preterm delivery rate (<34 weeks of gestation) was comparable between the two study groups (10.5% vs 35.7%; P = 0.106). Those undergoing the double cerclage method had longer gestational duration (37.2 ± 2.6 vs 34.3 ± 3.8 weeks; P = 0.016). Conclusion The double cervical cerclage method seems to provide better cervical support, as compared with the classic M c D onald cerclage method, in those suffering from recurrent pregnancy loss, due to cervical incompetence.