Role of interpregnancy cervical encerclage in case of intrauterine insemination pregnancy

Authors

  • Shreedevi Tanksale 21st Century Fertility Centre, Gujarat, India
  • Purnima Nadkarni 21st Century Fertility Centre, Gujarat, India
  • Aditi Nadkarni 21st Century Fertility Centre, Gujarat, India
  • Pooja Nadkarni 21st Century Fertility Centre, Gujarat, India
  • Prabhakar Singh 21st Century Fertility Centre, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20161350

Keywords:

Cervical encerclage, Interpregnancy, Uterine

Abstract

Cervical encerclage was first performed in 1902 in women with history of mid trimester abortion spontaneous preterm birth suggestive of cervical insufficiency, with the aim of preventing recurrent loss. Cervical insufficiency occurs in only 0.1% to 2% of all pregnancies. Cervical insufficiency has been defined as the inability of the uterine cervix to retain a pregnancy. Women with cervical insufficiency usually present with repetitive painless second trimester losses. There has not much been reported about cases in which interval cervical encerclage was done in non-pregnant state before start of ART procedure. We report a case with cervical insufficiency in a case of subseptate uterus who underwent interval cervical encerclage and carried pregnancy till term with positive outcome.

References

Arias F. Practical Guide to High risk pregnancy and delivery. 3rd edition. Elsevier; 2008:262-276.

Norwiz ER, Greene MF, Reke JT. Cervical cerclage- elective and emergent. ACOG update. 1999;24:1-11.

Shortle B, Jewelewicz R. cervical incompetence Fertil Steril. 1989;52:181-8.

Royal College of Obstetricians and Gynecologists; Cervical Cerclage; Green top guideline no. 60. 2011.

Drakeley AJ, Roberts D, Alfirevic Z. Cervical stitch for preventing pregnancy loss in women. Cochrane Database Syst Rev. 2003;1:CD003253

Xiao-ying Jin, Lin Kuang, Xiao-na Lin, Dong Huong. Cervical cerclage before blastocyst transfer in patients having cryopreserved embryo transfer. Fertil Steril. 2009;92(1):392.e9-392.12. Doi: 10.1016/j.fertnstert.2009.03.098

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Published

2017-01-04

Issue

Section

Case Reports