|
|
|
| The influence of McDonald cervical cerclage based on different indications for treating pregnant women with cervical insufficiency on their full-term delivery |
| Yihe campus of Cangzhou People's Hospital, Hebei Province,061001 |
|
|
|
|
Abstract Objective: To investigate the influence of McDonald cervical cerclage based on different indications for treating women with cervical insufficiency on their full-term delivery rate. Methods: The data of 102 pregnant women with cervical insufficiency from August 2016 to October 2018 were collected, and these women were divided into 3 groups according to different indications of McDonald cervical cerclage (34 cases in each group). The indications of McDonald cervical cerclage of women in group A were based on medical history, in group B were based on transvaginal color ultrasound, and in group C were based on vaginal examination. The success rate of surgical, pregnancy outcomes, and neonatal status were compared among the three groups. Results: The success rate of surgical, gestational weeks when delivery, the rate of full-term delivery, and neonatal body mass index (BMI), and survival rate of group A and B were significant higher than those of group C (P<0.05), but those of group A had no significant different to those of group B (P>0.05). There were no difference in abortion rate and premature delivery rate among the 3 groups (P>0.05). Conclusion: Different surgical indications of McDonald cervical cerclage for treating cervical incompetence have different effect. Compare to those of the indication of McDonald cervical cerclage based on physical examination, the indication of McDonald cervical cerclage based on transvaginal color Doppler ultrasound or medical history have higher success rate of surgical, gestational weeks when delivery, the rate of full-term delivery, and neonatal body mass index (BMI) and survival rate.
|
|
|
|
|
|
|
|
|
