The Indication for Cervical Cerclage and Pregnancy Outcome in a Teritiary Hospital in South-South Nigeria: A Five Year Review

  • Dennis Allagoa BMedsc (Pharm) MBBS, FWACS, FMAS, DMAS, CERT ART, Dip HMS, FICS, Consultant, Obstetrician/Gynaecologist, Federal Medical Centre Yenagoa, Bayelsa State, Nigeria
  • John Agbo MBBS, FWACS, Consultant Obstetrician and Gynaecologist, Federal Medical Centre Yenagoa, Bayelsa State, Nigeria

Abstract

Background: Cervical incompetence is a major cause of second trimester miscarriage. Recurrent pregnancy loss in the second trimester is associated with significant distress. However, there should be a justifiable indication before a cerclage is inserted. There is no documentation of the indication of cervical cerclage and pregnancy outcome in Yenagoa, southsouth Nigeria. Objectives: This paper focuses on documenting the indication and obstetric outcome following cervical cerclage insertion at the Federal Medical Center Yenagoa, Bayelsa State. Methodology: A 5 year retrospective study was carried out in women who had cervical cerclage for cervical incompetence in the Federal Medical Centre, Yenagoa. The study was conducted from the 1 st of January 2014 to 31st of December 2018. All the case files of patients who had cervical cerclage were retrieved and reviewed. Results: A total of 41 patients had cervical cerclage. The commonest indication for cervical cerclage insertion was history indicated cerclage 59.4%. This was followed by ultrasound indicated cerclage 28.1% and rescue cerclage accounting for 12.5%. All patients employed McDonald’s method of cervical cerclage. The position of the knot wasin 12 0’ clock position in 53.1% of the patients and in the 6 0’clock position for 46.9% of the patients. The success rate following insertion of cerclage was 79.3%. The mode of deliveries was vaginal in 90.6% of the patients and 9.4% had caesarean section. Conclusion: There may be concern about the diagnosis of cervical incompetence. However, findings from this study clearly showed that the application of cervical cerclage is associated with good obstetric outcome.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

PlumX Statistics

Published
2019-08-31
How to Cite
Allagoa, D., & Agbo, J. (2019). The Indication for Cervical Cerclage and Pregnancy Outcome in a Teritiary Hospital in South-South Nigeria: A Five Year Review. European Scientific Journal, ESJ, 15(24), 200. https://doi.org/10.19044/esj.2019.v15n24p200