[Emergency cerclage:10 years experience at the ABC Hospital].
OBJECTIVE
To evaluate the success of emergency cerclage procedures and neonatal outcome at the ABC Hospital.


METHODS
A retrospective analysis between January 1, 1991 and December 31, 2000 was carried out. Gestational age at the time of the procedure was recorded, as well as the average time in gestational weeks after the procedure, maternal complications and neonatal outcome.


RESULTS
Seven patients were included with dilatation of the internal cervical of 3 cm o more and membranes protruding to the vagina in all cases. Patients with uterine activity, a cerclage procedure in a previous pregnancy, and corioamnioitis were excluded. The average gestational age for the procedure was 23.3 weeks. The average length of duration of the current pregnancy after the procedure was 5.4 weeks; with 58.3% of live newborns recorded.


CONCLUSIONS
The emergency cerclage procedure continues to be a heroic attempt to continue the pregnancy. By the results published in the literature, it can be stated that the prolongation of pregnancy is highly variable with neonatal survival rate between 12-73%.
Alfaro Jaime
Alfaro
A
Velásquez Mario
Morales
M
Cuervo Humberto
Reyes
R
Abad Eduardo
Ibarrola Buen
IB
Fernando
García-León
GL
D000328:Adult; D023802:Cerclage, Cervical / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D005865:Gestational Age; D006761:Hospitals / Q000706:statistics & numerical data; D006801:Humans; D008800:Mexico; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D016896:Treatment Outcome; D002581:Uterine Cervical Incompetence / Q000601:surgery*