A 22-year-old, primigravida +/- 20 weeks of gestation presented with abdominal pain. She was diagnosed as a case of advanced cervical incompetence. We carried out an emergency cerclage after 24 hours from her admission, while the cervix was fully dilated with bulging of the membranes and prolapse of both lower limbs in the middle of the vagina. She delivered normally at 38 weeks of gestation wi...

A twin gestation invariably leads to a certain extent of cervical length shortening . If this reduction is also associated with gradual dilatation internal os and various biochemical , mechanical changes in matrix can lead mid trimester pregnancy loss or preterm labour. This case report on Dichorionic Diamniotic incompetence which rescue cerclage was performed along judicious use tocolysis vagi...

Fertility can be preserved after conservative cervical surgery. We report on a 29-year-old woman who was obese, para 0, and diagnosed with cervical insufficiency at the first trimester of current pregnancy due to a previous trachelectomy. She underwent laparoscopic transabdominal cervical cerclage (LTCC) for cervical cancer. The surgery was successful and she was discharged two days later. The ...

In the year 1951, there was a conference of renowned Gynecologists and Obstetricians from all over the world at Paris. The representative from India thundered in the Conference that no woman should loose her precious baby because of cervical incompetence. He disclosed a totally different and innovative approach for cervical incompetence. He described cervical cerclage operation for habitual sec...

BACKGROUND Maternal cervical incompetence in pregnancy (CIP) showed an association with a higher rate of preterm births. The objective of this study was to determine the prevalence of CIP in Hungarian pregnant women, to determine the rate of preterm birth, and to check the preventive efficacy of preterm births due to CIP by therapeutic cerclage or bed rest alone. METHODS Analysis of the popul...

Letters Laparoscopic removal of abdominal cervical suture Editor, Cervical incompetence is diagnosed in 0.1-1% of all pregnancies and in 8% of women with repeated (two or more) mid-trimester pregnancy loss. 1 Cervical cerclage should be offered to patients with three or more pregnancies ending before 37 weeks gestation 2 as there is a strong body of clinical evidence suggesting that cervical ce...

Received: 25.11.2009; Accepted: 13.09.2011 doi: 10.1016/S0377-1237(11)60107-X • Gravida2: Six years back, spontaneous abortion at 12 weeks gestation, managed at a civil hospital. • Gravida3: Five years back, spontaneous abortion at 20 weeks gestation, managed at a peripheral military hospital. • Gravida4: Four years back, transvaginal cerclage given, spontaneous abortion at 16 weeks gestation, ...

The release of certain cytokines, e.g. tumour necrosis factor (TNF)-alpha, in the amniotic fluid has been suggested to be a cause of preterm birth. The predisposition to excessive liberation of cytokines from peripheral leukocytes has been shown to depend partly on the individual's HLA-DR genotype. The HLA-DR1 and -DR3 alleles have previously been reported as being associated with a TNF-alpha h...

Though point-of-care ultrasound applications continue to expand, there are findings that are not within the scope of emergency ultrasound. It is important for emergency physicians to be aware of incidental findings that can be identified on comprehensive ultrasounds performed by other imaging departments in order to fully understand the limitations of bedside ultrasound. In this case, a gravid ...