title: Experience with MacDonald's cervical cerclage in a rural setting.
abstract: Eighty-two patients with cervical incompetence were managed with MacDonald's cervical cerclage, bed rest, tocolytics and sedatives. 78 of the patients were followed upto termination of pregnancy and their pregnancy data recorded. 69.5% delivered at term. 78.1% were discharged from hospital with live babies. The incidence of operative delivery was encountered. MacDonald's cervical cerclage has a high success rate in a rural setting, well comparable to that in urban settings and prolonged in-patient treatment is not always necessary.
authors.affiliation: Department of Obstetrics and Gynaechology, University of Nairobi, College of Health Sciences, Kenya.
authors.forename: J K
authors.initials: JK
authors.lastname: Ruminjo
authors.forename: E
authors.initials: E
authors.lastname: Nuwagaba
mesh_terms: D000293:Adolescent; D000328:Adult; D001510:Bed Rest; D005069:Evaluation Studies as Topic; D005260:Female; D006767:Hospitals, District; D006780:Hospitals, Rural; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D007630:Kenya / Q000453:epidemiology; D007902:Length of Stay / Q000706:statistics & numerical data; D011247:Pregnancy; D011256:Pregnancy Outcome; D011379:Prognosis; D013536:Suture Techniques / Q000592:standards*; D015149:Tocolytic Agents / Q000627:therapeutic use; D002581:Uterine Cervical Incompetence / Q000175:diagnosis / Q000601:surgery* / Q000628:therapy
chemical_list: D006993:Hypnotics and Sedatives; D015149:Tocolytic Agents