European Journal of Cardiovascular Medicine

Background: Cervical cerclage reduces the risk of preterm birth in women at high‐risk of preterm birth and probably reduces risk of perinatal deaths.  Objectives: To study obstetric and neonatal  outcomes in antenatal patients with transvaginal cervical cerclage. Methods:  This is an ambidirectional cohort study conducted in Government Medical college, Thrissur for  2 years  on 42 antenatal women who underwent transvaginal  cervical cerclage,. After written informed consent, data was collected using a semi structured questionnaire at first visit or at time of cerclage and followed up until removal and delivery, all antepartum,intrapartum and neonatal events until discharge were listed. Results: Cervical cerclage in total had a fetalsalvage rate of 73.8%.Elective cerclage had 95.3% take home  baby rate, while emergency cerclage  had only 50% fetal salvage  rate.Comparing Mc Donald and Modified Shirodkar technique, though the latter is associated with more  prolongation of gestational age, the difference was not statistically significant. Cerclage was not found to have any maternal complications in this study. Conclusion: Overall cervical cerclage in indicated cases offers good obstetric outcomes in terms of mean prolongation of gestational age at delivery and improved take home baby rates. It is advisable to screen pregnancies at risk of cervical insufficiency and to offer elective cerclage as it gives better results when compared to emergency cerclage.