title: Cervical encerclage--a stitch in time: analysis of 23 cases.
abstract: Cervical incompetency has been recognized as a cause of repeated reproductive loss. Currently many surgeons cast doubt on the existence of cervical insufficiency and the efficiency of encerclage to salvage the situation. Over a period of 3 years we did cervical encerclage for 23 patients with recurrent pregnancy loss in whom all other causes were ruled out. Twenty-one patients benefitted by the procedure, only one ended in missed abortion and one patient had preterm delivery with early neonatal loss. We had a fetal salvage of 91.3%. Birth weights of the babies were above 2500 g in 65.2%. In our experience, with proper selection, patients benefitted from encerclage performed at the appropriate time.
authors.affiliation: Department of Obstetrics and Gynaecology, Kasturba Medical College, Manipal, India.
authors.forename: V
authors.initials: V
authors.lastname: Nalini
authors.forename: P K
authors.initials: PK
authors.lastname: Urmila
authors.forename: E
authors.initials: E
authors.lastname: George
authors.forename: J
authors.initials: J
authors.lastname: Dasan
authors.forename: M
authors.initials: M
authors.lastname: Thomas
mesh_terms: D000026:Abortion, Habitual / Q000209:etiology / Q000517:prevention & control*; D000328:Adult; D005069:Evaluation Studies as Topic; D005260:Female; D005313:Fetal Death / Q000209:etiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011183:Postoperative Complications / Q000209:etiology; D011247:Pregnancy; D011256:Pregnancy Outcome; D013536:Suture Techniques; D002581:Uterine Cervical Incompetence / Q000601:surgery*