J Clin Med Res

Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access

Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc

Journal website http://www.jocmr.org

Original Article

Volume 7, Number 5, May 2015, pages 319-323

Evaluation of Maternal-Fetal Outcomes After Emergency Vaginal Cerclage Performed With Shirodkar-McDonald Combined Modified Technique

**Table 1.** Characteristics of Enrolled Patients
Case no.	Age	Parity	Obstetric history	GA
GA: gestational age (weeks) at time of cervical cerclage; TD: deliveries at term; PTD: preterm deliveries; A: abortion; LS: living sons.
1	31	0	0	1	0	One abortion	23.4
2	32	0	1	0	0	One preterm delivery at 26 weeks	16.2
3	20	0	1	1	0	One preterm delivery at 26 weeks	20.6
4	38	0	0	1	0	One abortion	18.6
5	33	1	0	1	1	One spontaneous delivery at term, one abortion	23.2
6	22	0	0	2	0	Two abortions	24.4
7	32	1	0	1	1	One spontaneous delivery at term, one abortion	25.3
8	22	0	0	0	0	-	23.0
9	33	0	2	0	0	Two preterm deliveries	16.2
10	28	0	0	0	0	Bicornuate uterus	21.0
11	33	1	1	1	1	One spontaneous delivery at term, one preterm delivery, one abortion	16.1
12	24	1	0	1	1	One spontaneous delivery at term, one tubal pregnancy	24.1

Table 1. Characteristics of Enrolled Patients

Case no.

Age

Parity

Obstetric history

PTD

GA: gestational age (weeks) at time of cervical cerclage; TD: deliveries at term; PTD: preterm deliveries; A: abortion; LS: living sons.

One abortion

23.4

One preterm delivery at 26 weeks

16.2

One preterm delivery at 26 weeks

20.6

One abortion

18.6

One spontaneous delivery at term, one abortion

23.2

Two abortions

24.4

One spontaneous delivery at term, one abortion

25.3

23.0

Two preterm deliveries

16.2

Bicornuate uterus

21.0

One spontaneous delivery at term, one preterm delivery, one abortion

16.1

One spontaneous delivery at term, one tubal pregnancy

24.1

**Table 2.** Pregnancy Outcomes, Type and Gestational Age of Each Delivery, Perinatal Outcomes After Vaginal Cervical Cerclage Performed With Combined Modified Shirodkar-McDonald Technique
Case no.	GA cerclage	GA delivery	PP	Type of delivery	AI	Neonatal weight (g)	Note
GA: gestational age (weeks) at time of cervical cerclage and of delivery; PP: prolongation of the pregnancy (days); CS: cesarean section; AI: Apgar index; AGH: apparently good health.
1	23.4	39.1	109	Vaginal	09-10	3.140	AGH
2	16.2	39.2	160	Vaginal	09-10	2.700	AGH
3	20.6	40.0	134	CS	08-07	2.500	AGH
4	18.6	40.0	148	Vaginal	09-10	3.150	AGH
5	23.2	25.0	12	Vaginal	03-06	600	Neonal death after 24 days
6	24.4	34.5	71	Vaginal	07-08	2.450	AGH
7	25.3	40.3	105	Vaginal	10-10	3.500	AGH
8	23.0	30.1	50	Vaginal	09-10	1.450	AGH
9	16.2	37.0	145	CS	09-10	2.900	AGH
10	21.0	23.0	14	Vaginal	04-06	640	Neonal death after 1 day
11	16.2	35.0	131	Vaginal	10-10	2.640	AGH
12	24.1	24.1	0.17 (4 h)	Vaginal	03-07	700	Neonatal intensive care unit

Table 2. Pregnancy Outcomes, Type and Gestational Age of Each Delivery, Perinatal Outcomes After Vaginal Cervical Cerclage Performed With Combined Modified Shirodkar-McDonald Technique

Case no.

GA cerclage

GA delivery

Type of delivery

Neonatal weight (g)

Note

GA: gestational age (weeks) at time of cervical cerclage and of delivery; PP: prolongation of the pregnancy (days); CS: cesarean section; AI: Apgar index; AGH: apparently good health.

23.4

39.1

109

Vaginal

09-10

3.140

AGH

16.2

39.2

160

Vaginal

09-10

2.700

AGH

20.6

40.0

134

08-07

2.500

AGH

18.6

40.0

148

Vaginal

09-10

3.150

AGH

23.2

25.0

Vaginal

03-06

600

Neonal death after 24 days

24.4

34.5

Vaginal

07-08

2.450

AGH

25.3

40.3

105

Vaginal

10-10

3.500

AGH

23.0

30.1

Vaginal

09-10

1.450

AGH

16.2

37.0

145

09-10

2.900

AGH

21.0

23.0

Vaginal

04-06

640

Neonal death after 1 day

16.2

35.0

131

Vaginal

10-10

2.640

AGH

24.1

0.17 (4 h)

Vaginal

03-07

700

Neonatal intensive care unit

**Table 3.** Emergency Cervical Cerclage and Prolongation of the Pregnancy: Comparison With Other Studies in Literature
Authors	Year	Cases	PP
PP: prolongation of the pregnancy (days).
Daskalakis et al [15]	2006	29	61.6
Ochi et al [23]	1994	18	35.2
Artmann et al [24]	2001	19	66.0
Ishikawa et al [25]	2003	10	23.9
Althuisius et al [26]	2003	13	54.0
Makino et al [27]	2004	8	32.9
Our case series	2014	12	89.9

Table 3. Emergency Cervical Cerclage and Prolongation of the Pregnancy: Comparison With Other Studies in Literature

Authors

Year

Cases

PP: prolongation of the pregnancy (days).

Daskalakis et al [15]

2006

61.6

Ochi et al [23]

1994

35.2

Artmann et al [24]

2001

66.0

Ishikawa et al [25]

2003

23.9

Althuisius et al [26]

2003

54.0

Makino et al [27]

2004

32.9

Our case series

2014

89.9