Since the opening of Aster Hospital, 4 cases of successful rescue cerclage have been performed and were able to continue the pregnancy beyond 29 weeks. The procedure had its challenges and its own rewards as we were able to add colors and new meanings to people’s lives.
The case was referred by Dr. Fousiya at Badr al Samaa Medical Centre as inevitable miscarriage, cervical incompetence in view of open cervical os with membranes bulging into the vagina.
A 32 year old lady, at 19 weeks was referred to Aster Hospital as inevitable miscarriage, cervical incompetence in view of open cervical os with membranes bulging into the vagina. She is married since 8 years, and had 2 failed attempts at IVF. This pregnancy was a natural conception and was uneventful till 19 weeks when she experienced pressure in the lower abdomen and blood stained discharge. She consulted her doctor and was diagnosed to have open cervix with membranes bulging into the vagina. She was examined and found to have cervical dilatation of 2.5cm with membranes bulging into the vagina, she was admitted and underwent USG for major anomalies, observed for contractions, bleeding, leaking and any other signs of infection. The couple was counselled about the pros and cons of cerclage at such a situation as she would definitely miscarry if cerclage was not done.
She underwent emergency rescue cerclage (Mc Donald’s suture double with Prolene 1 and mersilene) in the month of September. She was on complete bed rest, progesterone support and thromboprophylaxis since then. At 36 weeks of gestation she developed preterm premature rupture of membranes and delivered a baby boy weighing 2.6 kg through LSCS on maternal request.
The case was successfully carried out at Aster Hospital, Mankhool.
Dr. Caroline Alphine Jenitha MS, MRCOG
Specialist Obstetrics and Gynecology