title: Emergency cervical cerclage: effect on pregnancy outcome and mode of delivery.
abstract: OBJECTIVE
  To evaluate the effectiveness of emergency cervical cerclage (ECC) and its effect on the mode of delivery.
  
  
  METHODS
  Between April 2007 and July 2011 patients attending MH Diyarbakir Obstetrics and Gynecology Hospital and MH Seferihisar State Necat Hepkon Hospital who underwent ECC were included in this retrospective analysis.
  
  
  RESULTS
  At the time of ECC, the mean gestational age, cervical length and cervical dilatation were 21.4 ± 2.2 weeks, 4.3 ± 0.8 cm and 11 ± 2.4 mm, respectively. The average time between the procedure and birth was 13.8 ± 4.9 weeks and this period was sufficient to maintain a viable pregnancy (p < 0.05). In this study, 12 patients (60%) were delivered vaginally and eight (40%) patients delivered with CS (40%). the difference was statistically insignificant (p = 0.371). Regarding the gestational age at time of delivery, 55% of patients delivered at 36 weeks, 70% at 32 weeks, and 80% of them delivered at 28 weeks. The total live birth rate was 90%.
  
  
  CONCLUSIONS
  ECC provides satisfactory time for the fetus to gain sufficient viability. Pregnancies with emergency cerclage show no difference in terms of birth method, whether cesarean or vaginal birth, and delivery type does not appears to be linked to ECC.
authors.affiliation: Department of Obstetrics and Gynecology, MH Diyarbakir Obstetrics and Gynecology Hospital , Diyarbakır , Turkey .
authors.forename: Yunus
authors.initials: Y
authors.lastname: Çavuş
authors.forename: Ahmet
authors.initials: A
authors.lastname: Uysal
authors.forename: Deniz
authors.initials: D
authors.lastname: Balsak
authors.forename: Zuat
authors.initials: Z
authors.lastname: Acar
authors.forename: Zehra
authors.initials: Z
authors.lastname: İnce
authors.forename: Fatma
authors.initials: F
authors.lastname: Uysal
mesh_terms: D000022:Abortion, Spontaneous / Q000517:prevention & control; D000328:Adult; D023802:Cerclage, Cervical; D054791:Cervical Length Measurement; D036861:Delivery, Obstetric / Q000706:statistics & numerical data*; D004630:Emergencies; D005260:Female; D005313:Fetal Death; D005317:Fetal Growth Retardation; D005328:Fetal Viability; D005865:Gestational Age; D006801:Humans; D050498:Live Birth; D011247:Pregnancy; D011256:Pregnancy Outcome; D047928:Premature Birth / Q000453:epidemiology / Q000517:prevention & control; D012189:Retrospective Studies; D002581:Uterine Cervical Incompetence / Q000601:surgery