title: [Effect of indications and pre-existing conditions on the result of McDonald's cervix-closure surgery].
abstract: Authors have performed the McDonald cerclage operation on 172 gravidae because of cervical incompetence. From these pregnancies 80.2 per cent of the infants have survived over the sixth day. While with operations performed on the basis of extended indications for surgery an effect of 56.5 per cent was achieved, it was in cases of classical ones 92.8 per cent. Two complicated cases are reported caused by blastospores or bacteria respectively, isolated also in the vaginal secretion which have ascended into the uterine cavity. Both cases resulted in fetal death and in a septic condition of the mother. It is emphasized that the normal vaginal bioflora is essential condition for the cervical suture.
mesh_terms: D002176:Candida albicans / Q000302:isolation & purification; D005260:Female; D005313:Fetal Death / Q000209:etiology; D006801:Humans; D006814:Hungary; D007226:Infant Mortality; D007231:Infant, Newborn; D008722:Methods; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000150:complications / Q000382:microbiology; D018805:Sepsis / Q000150:complications; D002581:Uterine Cervical Incompetence / Q000601:surgery*; D014621:Vagina / Q000382:microbiology
vernacular_title: Einfluss von Indikationen und Vorbedingungen auf die Resultatsgestaltung der Zervixverschlussoperation nach McDonald.