Cervical cerclage as treatment for functional incompetence. Descriptive cross-sectional study at public maternity hospital in Cordoba

Objective: Describe the experience in cervical cerclages and obstetric results in pregnant women with diagnosis of cervical incompetence. Methods: Cross-sectional descriptive study on the experience with pregnant women with diagnosis of cervical incompetence who underwent cervical cerclage during ge...

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Autor principal: Ribero, Lucia del Valle
Formato: Artículo revista
Lenguaje:Español
Publicado: Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2023
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Acceso en línea:https://revistas.unc.edu.ar/index.php/RSD/article/view/34853
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id I10-R360-article-34853
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-360
container_title_str Revista de Salud Pública
language Español
format Artículo revista
topic Cervical incompetence, Cervical cerclage
Incompetencia cervical, Cerclaje cervical, Cerclaje cérvicouterino.
spellingShingle Cervical incompetence, Cervical cerclage
Incompetencia cervical, Cerclaje cervical, Cerclaje cérvicouterino.
Ribero, Lucia del Valle
Cervical cerclage as treatment for functional incompetence. Descriptive cross-sectional study at public maternity hospital in Cordoba
topic_facet Cervical incompetence, Cervical cerclage
Incompetencia cervical, Cerclaje cervical, Cerclaje cérvicouterino.
author Ribero, Lucia del Valle
author_facet Ribero, Lucia del Valle
author_sort Ribero, Lucia del Valle
title Cervical cerclage as treatment for functional incompetence. Descriptive cross-sectional study at public maternity hospital in Cordoba
title_short Cervical cerclage as treatment for functional incompetence. Descriptive cross-sectional study at public maternity hospital in Cordoba
title_full Cervical cerclage as treatment for functional incompetence. Descriptive cross-sectional study at public maternity hospital in Cordoba
title_fullStr Cervical cerclage as treatment for functional incompetence. Descriptive cross-sectional study at public maternity hospital in Cordoba
title_full_unstemmed Cervical cerclage as treatment for functional incompetence. Descriptive cross-sectional study at public maternity hospital in Cordoba
title_sort cervical cerclage as treatment for functional incompetence. descriptive cross-sectional study at public maternity hospital in cordoba
description Objective: Describe the experience in cervical cerclages and obstetric results in pregnant women with diagnosis of cervical incompetence. Methods: Cross-sectional descriptive study on the experience with pregnant women with diagnosis of cervical incompetence who underwent cervical cerclage during gestation and were assisted in public maternity hospital in the City of Cordoba. Results: The study included 82 cerclages. McDonald’s technique was used.  Average gestational age was 15 weeks. Of all the cases, 84.5 % were multigestations: 14.6% had late miscarriages, 11% premature deliveries and another 11% late miscarriage and premature delivery.  According to the gestational age when cerclage was placed, 53 of them were prophylactic.  Only 12 presented early complication: 9 preterm membrane ruptures and 3 cervical tears. Conclusion: The effect of cervical cerclage as intervention is important but it is not the solution for pre-term delivery.  Cervical cerclage is a simple technique with high success rate, low complications rate and good perinatal results.
publisher Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC
publishDate 2023
url https://revistas.unc.edu.ar/index.php/RSD/article/view/34853
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first_indexed 2024-09-03T22:27:13Z
last_indexed 2025-05-10T05:22:26Z
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spelling I10-R360-article-348532025-04-03T12:05:23Z Cervical cerclage as treatment for functional incompetence. Descriptive cross-sectional study at public maternity hospital in Cordoba Cerclaje cervical como tratamiento de incompetencia funcional. Estudio descriptivo transversal en Maternidad Pública de Córdoba. Objetivo: Descrever a experiência em cerclagens cervicais e resultados obstétricos de gestantes com diagnóstico de incompetência cervical. Métodos: estudo descritivo transversal sobre a experiência de gestantes com diagnóstico de incompetência cervical submetidas à cerclagem cervical durante a gravidez e atendidas em uma maternidade pública da Cidade de Córdoba. Resultados:Incluíram-se 82 cerclagens. A técnica utilizada foi McDonald. A idade gestacional média foi de 15 semanas. 85,4% eram multíparas: 14,6% tiveram abortos tardios, 11% partos prematuros e outros 11% abortos tardios e partos prematuros. De acordo com a idade gestacional de colocação, 53 delas foram profiláticas. Apenas 12 apresentaram complicações precoces, 9 rupturas prematuras de membranas e 3 lesões cervicais. Conclusão: O efeito da cerclagem cervical como intervenção é importante, mas não é a solução para o trabalho de parto prematuro. A cerclagem cervical é uma técnica simples, com alto índice de sucesso, baixa taxa de complicações e bons resultados perinatais. Ribero, Lucia del Valle Cervical incompetence, Cervical cerclage Incompetencia cervical, Cerclaje cervical, Cerclaje cérvicouterino. Objective: Describe the experience in cervical cerclages and obstetric results in pregnant women with diagnosis of cervical incompetence. Methods: Cross-sectional descriptive study on the experience with pregnant women with diagnosis of cervical incompetence who underwent cervical cerclage during gestation and were assisted in public maternity hospital in the City of Cordoba. Results: The study included 82 cerclages. McDonald’s technique was used.  Average gestational age was 15 weeks. Of all the cases, 84.5 % were multigestations: 14.6% had late miscarriages, 11% premature deliveries and another 11% late miscarriage and premature delivery.  According to the gestational age when cerclage was placed, 53 of them were prophylactic.  Only 12 presented early complication: 9 preterm membrane ruptures and 3 cervical tears. Conclusion: The effect of cervical cerclage as intervention is important but it is not the solution for pre-term delivery.  Cervical cerclage is a simple technique with high success rate, low complications rate and good perinatal results. Objetivo: Describir la experiencia en cerclajes cervicales y resultados obstétricos de embarazadas con diagnóstico de incompetencia cervical. Métodos: estudio descriptivo transversal sobre la experiencia en embarazadas con diagnóstico de incompetencia cervical intervenidas con cerclaje cervical en el curso de su gestación que hayan recibido asistencia médica en maternidad pública de la Ciudad de Córdoba. Resultados: Se incluyeron 82 cerclajes. La técnica utilizada fue McDonald. La  edad gestacional promedio fue 15 semanas. El 85,4% eran multigestas: 14,6% tenían abortos tardíos, el 11% partos prematuros y otro 11% aborto tardío y parto prematuro. Según la edad gestacional de colocación, 53 de ellos fueron profilácticos. Sólo 12 presentaron complicaciones precoces, 9 rupturas prematuras de membranas y 3 desgarros cervicales. Conclusión: El efecto del cerclaje cervical como intervención es importante pero no  la solución al parto pretérmino. El cerclaje cervical es una técnica sencilla, con alta tasa de éxito, baja tasa de complicaciones y con buenos resultados perinatales. Objetivo: Descrever a experiência em cerclagens  cervicais e resultados obstétricos de gestantes com diagnóstico de incompetência cervical.  Métodos: estudo descritivo transversal sobre a experiência de gestantes com diagnóstico de incompetência cervical submetidas à cerclagem cervical durante a gravidez e atendidas em uma maternidade pública da Cidade de Córdoba. Resultados:Incluíram-se  82 cerclagens. A técnica utilizada foi McDonald. A idade gestacional média foi de 15 semanas. 85,4% eram multíparas: 14,6% tiveram abortos tardios, 11% partos prematuros e outros 11% abortos tardios e partos prematuros. De acordo com a idade gestacional de colocação, 53 delas foram profiláticas. Apenas 12 apresentaram complicações precoces, 9 rupturas prematuras de membranas e 3 lesões cervicais. Conclusão: O efeito da cerclagem cervical como intervenção é importante, mas não é a solução para o trabalho de parto prematuro. A cerclagem cervical é uma técnica simples, com alto índice de sucesso, baixa taxa de complicações e bons resultados perinatais. Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2023-01-05 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/RSD/article/view/34853 10.31052/1853.1180.v28.n2.34853 Revista de Salud Pública; Vol. 28 Núm. 2 (2022): Revista de Salud Pública 1852-9429 1853-1180 10.31052/1853.1180.v28.n2 spa https://revistas.unc.edu.ar/index.php/RSD/article/view/34853/40312 Derechos de autor 2023 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0