Cervical insufficiency is a risk factor for preterm labor and second trimester loss. Cervical cerclage is the choice treatment for women with this risk factor. An emergency cerclage is recommended in cases with the prolapsed amniotic membrane at the dilated cervical os before 24 weeks of gestation. The aim of this study is to report our method with double-suture in emergency cerclage.
This is a cross-sectional study conducted between March 2017 and February 2019 of women who received the double-suture cerclage in Qazvin referral Kosar hospital. The inclusion criteria were women with gestational age of 18-24 weeks with the prolapsed amniotic membrane and cervical dilatation (more than 3-4cm) in the speculum exam. The exclusion criteria were the mother's dissatisfaction to do this cerclage, previous failure cerclage, twin pregnancy, preterm rupture of membrane (PROM) signs and chorioamnionitis signs.
Five women were included. All of them presented prolapsed membranes at or beyond the cervical os. The double-suture cerclage was performed for all of the patients. All of women delivered by normal vaginal delivery and their infants had no problems.
Despite the small number of the patients, this study showed that this method of cerclage was effective in pregnancy for women with high risk of preterm labor and second trimester loss. This technique requires an expert and trained surgical team. The following studies should be performed with a big population and compare with other methods of emergency cerclage.