Ranjana’s Indigenous Suture Material for McDonald’s Cervical Cerclage Volume 4 - Issue 3

Ranjana Khanna, Parul Gupta* and Vikram Khanna

• Department of OBGY, Ranjana Hospital, Prayagraj, India

Received:June 28, 2021Published: July 7, 2021

Corresponding author:Parul Gupta, Department of OBGY, Ranjana Hospital, Prayagraj, India

DOI: 10.32474/IGWHC.2021.04.000195

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Abstract

Introduction: Cervical cerclage has been advocated in cases of ‘cervical incompetence’. There is very little evidence on the material to be used for cerclage. Here we have used nylon wool over semicircular needle for cervical cerclage.

Material and Methods: 30 patients were included in the study. After a written informed consent, the patient was then taken for cervical cerclage suture application. The material used was dark colored nylon wool. The primary outcome was live birth rate of the baby where as the secondary outcome parameters included period of gestation at delivery, mode of delivery, length of hospitalization of the baby, NICU if required, requirement of another cerclage in subsequent pregnancies and the timing of removal of cerclage.

Results: Out of the 30 pregnancies 29 were singleton pregnancies and 1 was twin pregnancy. The mean gestational age was 16.3 weeks. The mean duration between the cerclage and delivery was 137.6 days. All children survived their hospital stay and were discharged to home. 11 patients came for management of subsequent pregnancy. Close USG monitoring was done while deciding for the cerclage.

Conclusion: The present study of patients who were applied McDonalds cervical cerclage suture using nylon wool sutures have shown satisfactory prolongation of the period of gestation. All the newborns apart from 1 fetus, survived and were discharged to home. The results are promising, and they show that nylon wool can be used for McDonald’s cerclage.

Keywords: Mid Trimester Abortion; Cervical Cerclage, McDonald Cerclage; Premature Labour

Abstract| Introduction| Materials and Methods| Results| Discussion| Conclusion| Conflict of interest| Funding Information| References|