| Management of cervical incompetence in Aba, south-eastern Nigeria. | |
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MedLine Citation:
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PMID: 16353700 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: There have been relatively few reports on the outcome of cervical cerclage performed in non-tertiary centres. The aim of this study was to determine the pregnancy complications and outcome in patients following cervical cerclage. METHODS: Seventy-one patients who had 103 pregnancies and underwent cervical cerclage at Women's Hospital, Aba over a ten-year period were reviewed. The diagnosis of cervical incompetence was made from the history in 90.6% of cases and also in some cases by hysterosalpingography and ultrasonography. RESULTS: The Shirodkar (65%) and McDonald (35%) techniques were employed and 10.7% of cases were done as emergency procedures. The more common post-insertion complications were urinary tract infection (50.4%), preterm rupture of membranes (20.4%) and vulvovaginitis (14.6%). Common labour associated complications were antepartum haemorrhage, perineal/cervical tears and malpresentations. The preterm birth rate was 32%. Term births accounted for 68% of the deliveries. The overall fetal salvage rate was 92.2%. Antepartum haemorrhge was a significant indication for caesarean section delivery. The perinatal mortality was 63.2 per 1000 and there was no maternal death. CONCLUSION: The high fetal salvage rate of 92.2% justifies the procedure of cervical cerclage. |
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Authors:
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P A Feyi-Waboso; C C Umezurike |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria Volume: 14 ISSN: 1115-2613 ISO Abbreviation: - Publication Date: 2005 Oct-Dec |
Date Detail:
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Created Date: 2005-12-15 Completed Date: 2006-02-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100888321 Medline TA: Niger J Med Country: Nigeria |
Other Details:
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Languages: eng Pagination: 400-4 Citation Subset: IM |
Affiliation:
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Women's Hospital, Aba, Nigeria. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cerclage, Cervical*
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adverse effects Female Gestational Age Humans Nigeria Obstetric Labor Complications / epidemiology Pregnancy Pregnancy Outcome Premature Birth / epidemiology Uterine Cervical Incompetence / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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