Evaluation of Different Indications for Pregnancy by Transvaginal Cervical Cerclage Results
ZHANG Shan-shan
CHEN Yue
Abstract：Objective:To retrospectively analyze the pregnancy outcome and neonatal prognosis of transvaginal cervical cerclage during pregnancy based on three different indications. Methods:Records of 66 patients with transvaginal cervical cerclage were retrospectively analyzed. Results:There were no statistically significant differences between elective cerclage group and ultrasound-indicated cerclage group in gestational age, live-birth rate and neonatal birth weight (P>0.05). The gestational age was (29.17±6.44) weeks in the emergency cerclage cervical group was lower than (34.06±6.66) weeks in the elective cerclage group and (35.42 ±4.75) weeks in the ultrasound-indicated cerclage group,the difference was statistically significant(P<0.05). In the emergency cerclage cervical group,the mean cervical dilation before operation,postoperative white blood cell count,highest level of C-reactive protein of the failure group were higher than the successful group. Conclusions:Pregnancy women with elective cervical cerclage and pregnancy women with ultrasound-indicated cerclage all achieve good and similar pregnancy outcome. Through effective strengthen anti-inflammatory, emergency cerclage cervical success rate can be improved. Caesarean re-pregnancy women those who have a certain probability of occurrence of cervical incompetence during pregnancy should check changes in the cervix by B-ultrasound.
Keywords：Uterine cervical incompetenceCerclagecervicalTreatment outcomePregnancy outcome
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 643-646 )