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A comparative study of two surgical management methods for cervical incompetence at the University College Hospital, Ibadan

Incompetence of the internal uterine cervical os is associated with recurrent pregnancy loss. Different surgical techniques are in practice to correct the defect. The objective of this study therefore was to review the outcome of pregnancies following cervical using either of the two procedure among...

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Published: 2007-02
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LEADER 00000njm a2000000a 4500
001 oai:repository.ui.edu.ng:123456789/4099
042 |a dc 
720 |a Oladokun, A.  |e author 
720 |a Adesina, O. A.  |e author 
720 |a Odukogbe, A. A.  |e author 
720 |a Morhason-Bello, I. O.  |e author 
720 |a Adewole, I. F.  |e author 
260 |c 2007-02 
520 |a Incompetence of the internal uterine cervical os is associated with recurrent pregnancy loss. Different surgical techniques are in practice to correct the defect. The objective of this study therefore was to review the outcome of pregnancies following cervical using either of the two procedure among patients diagnosed as having incompetence of the cervix. A comparative study of 2 standard methods of cerclage used in our hospital, McDonald & Shirodkar, in a group of 80 patients was done. All the patients had cervical cerclage insertion done between the 14 & 16 weeks of gestation using either of the two methods. There was no significant morbidity with either of the 2 methods. The overall success rates, as measured by continuation of the pregnancy to term, were similar. Both methods of cervical cerclage are equally effective in producing the desired outcome, but since the McDonald method is technically simpler to perform, it may be desirable to adopt this approach more frequently. 
024 8 |a 1597-7188 
024 8 |a Ibom Medical Journal 2(1), pp. 28-30 
024 8 |a ui_art_oladokun_comparative_2007 
024 8 |a http://ir.library.ui.edu.ng/handle/123456789/4099 
653 |a Recurrent Mid-trimester Loss 
653 |a Cerclage 
653 |a Cervical Incompetence 
245 0 0 |a A comparative study of two surgical management methods for cervical incompetence at the University College Hospital, Ibadan