Outcome of different cerclage methods in two cases of congenital cervical insufficiency: a case report

Authors

  • Pushpawati Thakur Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India
  • Sagarika Majumdar Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India http://orcid.org/0000-0002-0574-8347
  • Veena Chandrawanshi Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India
  • Vinita Singh Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India
  • Sarita Rajbhar Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India
  • Pragati Trigunait Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20210047

Keywords:

Cervical insufficiency, Cervical cerclage, Congenital cervical insufficiency

Abstract

Cervical insufficiency (CI) or progressive shortening and thinning of cervix is a contributor to perinatal mortality through spontaneous mid-trimester miscarriages or early preterm birth. Congenital factors for cervical insufficiency are rarer than acquired factors. The lack of definitive criteria or methods is a challenge for diagnosis of such cases. Different cerclage methods and timely cerclage have shown to improve the outcome of pregnancy in patients with congenital cervical insufficiency (CCI). Here, we report two cases of CCI managed with different methods of cerclage culminating in successful pregnancy outcomes.

Author Biographies

Pushpawati Thakur, Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India

DEPARTMENT OF OBSTETRICS AND GYNECOLOGY

ASSOCIATE PROFESSOR 

Sagarika Majumdar, Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India

DEPARTMENT OF OBSTETRICS AND GYNECOLOGY

SENIOR RESIDENT

Veena Chandrawanshi, Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India

DEPARTMENT OF OBSTETRICS AND GYNECOLOGY

SENIOR RESIDENT

Vinita Singh, Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India

DEPARTMENT OF OBSTETRICS AND GYNECOLOGY

ASSOCIATE PROFESSOR 

Sarita Rajbhar, Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India

DEPARTMENT OF OBSTETRICS AND GYNECOLOGY

ASSISTANT PROFESSOR 

Pragati Trigunait, Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India

DEPARTMENT OF OBSTETRICS AND GYNECOLOGY

SENIOR RESIDENT

References

Vasudeva N, Reddington C, Bogdanska M, De Luca L. Emergency versus Elective Cervical Cerclage: An Audit of Our First Two Years of Service. Biomed Res Int. 2018;2018.

Wafi A, Faron G, Parra J, Gucciardo L. Influence of cervical cerclage interventions upon the incidence of neonatal death: a retrospective study comparing prophylactic versus rescue cerclages. Facts, views Vis Ob Gyn. 2018;10(1):29-36.

Brown R, Robert Gagnon MQ, Marie-France Delisle MQ, Gagnon R, Bujold E, Basso M et al. SOGC clinical practice guidelines cervical insufficiency and cervical cerclage maternal fetal medicine committee. J Obstet Gynaeco Canada. 2013;35.

Pillarisetty L, Gupta N. Recurrent Pregnancy Loss. StatPearls. 2020. Available from: https://www.ncbi.nlm.nih.gov/books/NBK554460/. Accessed on 15 Nov, 2020.

Kilani Z, Hamarsheh M, Kilani S, Rubaie Z. A Novel Technique of Emergency Cerclage for Mid Trimester Cervical Dilatation. Ann Infertil Reprod Endocrinol. 2018;1:1008.

Cerclage for the Management of Cervical Insufficiency. The American College of Obstetricians and Gynaecologists. Obstet Gynecol. 2014;123(2 Pt 1):372-9.

Danforth DN. The fibrous nature of the human cervix, and its relation to the isthmic segment in gravid and nongravid uteri. Am J Obstet Gynecol. 1947;53(4):541-60.

Thakur M, Mahajan K. Cervical Incompetence. StatPearls. StatPearls Publishing; 2020.

Howard JA. Recurrent Pregnancy Loss: Causes, Controversies, and Treatment. Second Edition. Taylor and Francis group. 2015.

Gynaecologists TRC of O and Cervical cerclage: Green-top Guideline No. 60. 2011;289(60):1-21.

Lee KN, Whang EJ, Chang KHJ, Song JE, Son GH, Lee KY. History-indicated cerclage: The association between previous preterm history and cerclage outcome. Obstet Gynecol Sci. 2018;61(1):23-9.

Bieber KB, Olson SM, Macomb M, Hospital MM. Cervical Cerclage Contraindications. 2020;9-12.

Brown R, Gagnon R, Delisle MF. No. 373-Cervical Insufficiency and Cervical Cerclage. J Obstet Gynaecol Canada. 2019;41(2):233-47.

Preterm labour and birth. 2015. Available from: www.nice.org.uk/guidance/ng25. Accessed on Nov 15, 2020.

Sonawane P, Nanavati A. An External Os Stitch as Emergency Cerclage: A Last-Ditch Effort. J Postgrad Gynaecol Obstet. 2016;2-5.

Althuisius SM, Dekker GA, Hummel P, Van Geijn HP. Cervical incompetence prevention randomized cerclage trial: Emergency cerclage with bed rest versus bed rest alone. Am J Obstet Gynecol. 2003;189(4):907-10.

Childress KM, Dickert EJ, Flick AA, Myles TD, Amon E, Gross GA. A Comparison of Mersilene Suture to Other Non-Absorbable Suture in Cervical Cerclage [10H]. Obstet Gynecol. 2016;127:68S-9.

Downloads

Published

2021-01-29

How to Cite

Thakur, P., Majumdar, S., Chandrawanshi, V., Singh, V., Rajbhar, S., & Trigunait, P. (2021). Outcome of different cerclage methods in two cases of congenital cervical insufficiency: a case report. International Journal of Research in Medical Sciences, 9(2), 614–616. https://doi.org/10.18203/2320-6012.ijrms20210047

Issue

Section

Case Reports