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Foetal Salvage by Modified McDonal’s Method

Mona Nagar , Madhubala Chauhan , Mona Nagar , Rekha Garasiya

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Indian Journal of Obstetrics and Gynecology 8(2):p 37-44, April-June 2020. | DOI: http://dx.doi.org/10.21088/ijog.2321.1636.8220.6

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Madhubala Chauhan, Mona Nagar, Rekha Garasiya. Foetal Salvage By Modified McDonal’s Method. Indian J Obstet Gynecol. 2020;8(2):37–44.
 

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

Background: Cervical cerclage is the main stay of surgical treatment for cervical insufficiency and is reasonable in the following situations. Cerclage can be accomplished either transvaginally or transabdominally. Aim: To evaluate the effectiveness of cervical cerclage by modified McDonald’s method in form of better perinatal, foetal and maternal outcome. Materials and Methods: This is a prospective cohort study conducted on 100 ANC pregnant women with history of previous spontaneous preterm birth, previous 2nd trimester abortion, previous early and late recurrent foetal loss and women with short cervix in pregnancy at PDZH, Udaipur. Result: Mean age 25.94±3.69 years, mean gravida 2.71 ± 1.27, mean gestational age at time of cervical cerclage 18.1 ± 3.76 weeks. Mean good APGAR among
93 live births was 94% babies between 7–10. Among 3 neonatal death all babies were <2.5 kg (p < 0.05). Maximum patient reach at term who had cervical cerclage between 14–18 week i.e. 49% (p < 0.05). In short cervix cases total foetal salvage by modified McDonald’s method is 84.61%, abortion 7.69%, NICU admission 23.07% and neonatal death is 7.69%. Conclusion: Cervical cerclage is a simple procedure, require little surgical expertise but has very good results. Advantage of our method over McDonald’s method is that it is simpler procedure having less stitches on cervix so that less chances of haemorrhage, at the time of surgery or postsurgery. Round body prolene suture does less trauma to cervix and less chances of infection to genital tract in comparison to
braided silk suture.
 

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Cite this article

Madhubala Chauhan, Mona Nagar, Rekha Garasiya. Foetal Salvage By Modified McDonal’s Method. Indian J Obstet Gynecol. 2020;8(2):37–44.
 

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.8220.6

Keywords

Cervical cerclage; McDonald’s method; Prolene suture.

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