title: Effectiveness of emergency cervical cerclage in patients with cervical dilation in the second trimester.
abstract: OBJECTIVE
  Efficacy of emergency cerclage commensed in the second trimester is a controversial issue. In this study, we aimed to assess the success and associated complications of emergency cerclage in patients with cervical dilatation in the second trimester.
  
  
  METHODS
  In this retrospective study, medical records of 75 pregnant women who had clinically and ultrasonographically confirmed cervical dilatation in the second trimester who had undergone cervical cerclage were analyzed. Pregnancy prolongation was the main outcome measure.
  
  
  RESULTS
  Seventy-five women were included to the study. Mean age was 27 and mean gravidity of the patients was three. Mean cervical length was 28.5 mm (12-41 mm). The rate of spontaneous abortion, immature deliveries, prematurity and deliveries after 34 weeks were 2.7% (n = 2), 8% (n = 6), 12 (n = 9) and 77.7 (n = 58), respectively. Fetal survival rate was 89.1% (n = 65). Serious vaginal bleeding from the suture area was noted in two patients (2.6%). No postoperative complications occurred.
  
  
  CONCLUSIONS
  Emergency cerclage is a simple surgical procedure with lower complication rates and can effectively prolong gestation to viability. It can be considered as a useful measure for patients with evidence of cervical changes in the second trimester.
authors.affiliation: High Risk Pregnancy Unit, Dr. Zekai Tahir Burak Training and Research Hospital, Ankara, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Celen
authors.forename: Y
authors.initials: Y
authors.lastname: Simsek
authors.forename: S
authors.initials: S
authors.lastname: Ozyer
authors.forename: A
authors.initials: A
authors.lastname: Sucak
authors.forename: O
authors.initials: O
authors.lastname: Kaymak
authors.forename: F
authors.initials: F
authors.lastname: Turkcapar
authors.forename: A
authors.initials: A
authors.lastname: Oksuzoglu
authors.forename: E
authors.initials: E
authors.lastname: Akbaba
authors.forename: N
authors.initials: N
authors.lastname: Danisman
mesh_terms: D023802:Cerclage, Cervical / Q000009:adverse effects / Q000379:methods*; D004630:Emergencies; D005260:Female; D006801:Humans; D007747:Labor Stage, First; D011183:Postoperative Complications; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D011262:Pregnancy Trimester, Second; D012189:Retrospective Studies; D016896:Treatment Outcome; D002581:Uterine Cervical Incompetence / Q000601:surgery*