Benefits of Shirodkar Stitch in Women with Failed McDonald Stitch

Published on Jan 1, 2011in East African Medical Journal
· DOI :10.4314/EAMJ.V88I6
Omondi Ogutu5
Estimated H-index: 5
,
P Olang1
Estimated H-index: 1
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Abstract
This is a case series presentation of 14 cases where Shirodkar stitch was inserted after failed McDonald stitch. The patients were either self referrals or from Obstetricians in Eastern Africa region. All the patients were able to carry the pregnancies to term and were delivered by Caesarean section. The findings show that Shirodkar stitch has a place in management of patients with recurrent pregnancy loss. There is need to familiarise obstetricians on the insertion of Shirodkar stitch.
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References6
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#1Gary Ventolini (Wright State University)H-Index: 11
#2T J Genrich (Wright State University)H-Index: 1
Mid-trimester painless cervical dilation is associated with high rates of perinatal morbidity and mortality. ‘Rescue’ cerclage is one option in managing these patients. We evaluated pregnancy outcomes of women in whom we placed Shirodkar cerclage. We analyzed the pregnancy outcome of a retrospective cohort of women carrying singleton pregnancies who experienced late mid-trimester cervical dilation in whom we placed Shirodkar cerclage. Exclusion criteria were uterine contractions, bleeding, prema...
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#1Frederik K. Lotgering (Radboud University Nijmegen Medical Centre)H-Index: 7
Fetal loss is a painful experience. A history of second or early third trimester fetal loss, after painless dilatation of the cervix, prolapse or rupture of the membranes, and expulsion of a live fetus despite minimal uterine activity, is characteristic for cervical insufficiency. In such cases the risk of recurrence is high, and a policy of prophylactic cerclage may be safer than one of serial cervical length measurements followed by cerclage, tocolysis and bed rest in case of cervical shorteni...
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#1Shane P Higgins (University of Melbourne)H-Index: 2
#2Louise Kornman (University of Melbourne)H-Index: 12
Last. Shaun P. Brennecke (University of Melbourne)H-Index: 60
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Objective: The aim of the present study was to compare the outcome of pregnancies among patients with suspected cervical incompetence treated either by elective cervical cerclage or an alternative management program involving cervical surveillance. Design, Setting and Methods: A prospective cohort study was performed in two groups of patients at risk of cervical incompetence with singleton gestations attending the Royal Women's Hospital, Melbourne, Australia, from 1996 to 2000. The first group w...
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#1V. Heath (University of Cambridge)H-Index: 8
#2A. P. Souka (University of Cambridge)H-Index: 18
Last. K. H. Nicolaides (University of Cambridge)H-Index: 82
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Objective To examine the possible benefit of cervical cerclage in women with a very short cervix identified during routine sonographic assessment of cervical length at 23 weeks of gestation. Methods Transvaginal sonography was used to measure cervical length at 23 weeks of gestation in 2702 women with singleton pregnancies attending for routine antenatal care. In 43 (1.6%) cases the cervical length was ≤ 15 mm. The 43 women in this group were referred to their obstetricians for the further manag...
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