Clin Exp Obstet Gyn
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Clin Exp Obstet Gyn · Jan 1996
Cervical cerclage in the treatment of cervical incompetence in Zambian women.
Over a period of 5 years from January 1989 to October 1994, 207 patients with cervical incompetence were managed with Mac Donald's cervical cerclage at Nkana/Wusikili Mine Hospitals, Kitwe, Zambia. The incidence rate of cervical incompetence in our population was 1.47%. Our results confirmed a success rate of 90.8% as compared to 52.5% in previous pregnancies. ⋯ The possibility of having a mature baby in the group of low number previous abortions was significantly higher as compared to the group with a higher number of habitual abortions. Better pregnancy outcome was seen in low parity group (less than 2 previous deliveries) as compared to higher parity group. Our study confirms that cervical cerclage is a successful way in the treatment of cervical incompetence.
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Fetal death incidence is 5-10 per 1,000 births. About 25% of the women who carry a dead fetus for more than 4 weeks will show significant alterations in their coagulation system. ⋯ We took into consideration the cases ofintrauterine fetal death between the 26th and 40th week before labour. This study is based on a cohort of 57 cases of intrauterine fetal demise from the 24th to the 40th week of pregnancy before spontaneous labour.