Table of Contents
ISRN Obstetrics and Gynecology
Volume 2012, Article ID 842841, 4 pages
http://dx.doi.org/10.5402/2012/842841
Clinical Study

Prediction of Outcomes for Emergency Cervical Cerclage in the Presence of Protruding Membranes

Department of Obstetrics and Gynaecology, Al Wasl Hospital, Dubai 9115, UAE

Received 1 September 2011; Accepted 20 October 2011

Academic Editors: E. Petru and G. Rizzo

Copyright © 2012 Purnima Deb et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The aim of our study is to verify whether some maternal features are related to pregnancy outcomes of emergency cerclage when membranes are protruding through the dilated cervix. We present a retrospective review of 20 cases of emergency cervical cerclage performed over a 3-year period at Al Wasl hospital, a tertiary level centre in Dubai. Analysis shows presence of membrane prolapse with infection causing rupture of membranes, to be the strongest predictor of poor outcome. Analysis also reveals a significant association between initial white blood cell count and perinatal outcome. This information is helpful in decision making and counseling patients regarding the likely outcome.