title: The Use of Total Cervical Occlusion along with McDonald Cerclage in Patients with Recurrent Miscarriage or Preterm Deliveries.
abstract: OBJECTIVE
  To study the fetal outcome with the use of McDonald cerclage and total cervical occlusion in women with recurrent mid-trimester miscarriages or preterm deliveries, as well as complications of total cervical occlusion in the women.
  
  
  METHODS
  Prospective descriptive observational study on patients with two or more mid-trimester miscarriages, deliveries before 36 weeks, or patients who have experienced failure of transvaginal cerclage.
  
  
  RESULTS
  Twenty-six women were studied. Of these, 92% delivered at term. Two women delivered at 33 and 35 weeks, respectively. There was one neonatal death. Take home baby rate was 96.2%. There was no serious maternal morbidity among the patients.
  
  
  CONCLUSIONS
  The addition of external cervical OS occlusion to McDonald cerclage could improve fetal outcome in women with recurrent mid-trimester miscarriages and preterm deliveries.
authors.forename: Marliyya
authors.initials: M
authors.lastname: Zayyan
authors.forename: Sanusi R
authors.initials: SR
authors.lastname: Suhyb
authors.forename: Nwaorga O'C
authors.initials: NO
authors.lastname: Laurel