STUDY OF FETAL SALVAGE FOLLOWING MCDONALD'S ENCERCLAGE

Author:

Mange Krupa R.1,Bangal Vidyadhar B.2

Affiliation:

1. Postgraduate student, Dept of Obstetrics and Gynaecology, Rural Medical College, Loni, Ahmednagar , Maharashtra, India.

2. Professor and Head, Dept of Obstetrics and Gynaecology , Rural Medical College ,Loni, Ahmednagar , Maharashtra, India.

Abstract

Introduction - Mc Donald’s cervical encerclage is one of the surgical procedures, which has been proved beneficial in improving the fetal salvage in recurrent pregnancy loss in second trimester of pregnancy. Material and Methods-A retrospective observational study was carried out at tertiary care teaching hospital for a period of five years. Forty cases of bad obstetrical history that include repeated abortions and preterm labour probably due to cervical incompetence were included. Procedure was performed at various weeks of gestation ranging from 14-32 weeks. Results-Following Mc Donald’s procedure, 1 woman had abortion, and 6 had preterm labour and 33 women reached beyond 37weeks. In the present study, the average interval from Mc Donald’s encerclage to delivery was 130 days.Infant salvage rate in this study was 41% before and 88% after Mc Donald’s encerclage operation. Conclusion-Mc Donald’s cervical encerclage results in improving fetal outcome,when performed in properly selected cases.

Publisher

World Wide Journals

Reference28 articles.

1. American College of Obstetrics and Gynecology (2004):ACOG Practice Bulletin.Cervical insufficiency. Int. J. Gynaecol. Obstet.2004; 85: 81-89.

2. Vetter K, Kilavuz Ö (2001): Zervixinsuffizienz: operative Möglichkeiten. Gynäkologe 34: 726-731.

3. Palmer R,Lacomme M. La Beance de l’orifice interne,cause d’avortements a le petition? Une observation de Dechirure cervical isthmique erapee chirurgicalment,avecgestatin a larme consecutive.Gynecol Obstet 1948; 47:904

4. Lash AF, Lash AR .Habitual abortions:The incompetent internal os of the cervix.Am J Obstet Gynecol 1950;59:68.

5. Shirodkar VN A new method of operative treatment for habitual abortions in the second trimester of pregnancy.Antiseptic.1955;52:299

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