O'zbekcha
English
Русский
THE PREVALENCE OF CERVICAL INCOMPETENCY IN PRETERM BIRTH AND RECURRENT ABORTION
Maqola haqida umumiy ma'lumotlar
During normal pregnancy the neck of the uterus (cervix) stays tightly closed, allowing the pregnancy to reach full term. The inability of the uterine cervix to retain a pregnancy in the second trimester is referred to as cervical insufficiency. Cervical insufficiency is an important cause of preterm birth and recurrent pregnancy loss and is estimated to complicate up to 1% of pregnancies. The objective of this study is to find the prevalence of cervical incompetency in preterm birth and recurrent abortion.
A hospital based retrospective cross sectional study was conducted during six months (01/01/1401 to 30/6/1401), on 6802 women who were admitted due to obstetric conditions, 220 (3.23%) women were suffered from cervical incompetency. The women aged 18 -45 years. Women were diagnosed cervical incompetency and admitted in Nangarhar university teaching hospital (gestational age 14-36 weeks) were included in the study. Women were excluded if membranes were prolapsed below the external os, abruption or unexplained vaginal bleeding, uterine activity and cervical change associated with preterm labour. A pre-tested structured questionnaire was adapted for collecting of data.
In 6802 women who admitted due to obstetric conditions, 220 (3.23%) from cervical incompetency. The most affected (53.1%) age group interval was (30 to 40-year age group). about two third (77.27%), fourth-five (80.80%). It one -half (55.45%) of participants were, illiterate and house wives, lived in rural areas and expressed as the economic condition as poor, respectively. The percentage of cervical incompetency in primiparous women were 63(28.63%) and in multiparous women were 157(71.36%), 122(55.45%) women suffered from preterm birth and 98(44.54%) suffered from recurrent pregnancy loss. The most common causes of pregnancy loss were previous history of RPL (46.36%) the other causes were cervical
Trauma (14.09%), congenital and acquired anomaly of uterus (10.90%), uterine fibroma (5.45%), but in some cases the causes are still remain unknown.
- Cunningham, F., MacDonald, C., Gant, F., Leveno, J., Gilstrap, C., Hankins, V., & Clark, L. (1997). Williams Obstetrics, 20th edit. In: Stanford: Appleton & Lange.
- DeCherney, A. H., Nathan, L., Laufer, N., Roman, A. S., & Education, M.-H. (2019). Current diagnosis & treatment: obstetrics & gynecology. McGraw-Hill Education.
- Dutta, D. (2004). Text book of obstetrics: including perinatology and contraception. New central book agency.
- Valle RF, Ekpo GE. Hysteroscopic metroplasty for the septate uterus: review and meta-analysis. J Minim Invasive Gynecol. 2013;20:22–42.
- ESHRE Guideline Group on RPL, Bender Atik R, Christiansen OB, Elson J, et al. ESHRE guideline: recurrent pregnancy loss. Hum Reprod Open. 2018.
- Yang JH, Chen CD, Chen SU, et al. The influence of the location and extent of intrauterine adhesions on recurrence after hysteroscopic adhesiolysis. BJOG. 2016;123:618–623.
- Uzun Cilingir I, Sayin C, Sutcu H, et al. Does emergency cerclage really works in patients with advanced cervical dilatation? J Gynecol Obstet Hum Reprod. 2019;48:387–390.
- Althuisius SM, Dekker GA, van Geijn HP, Bekedam DJ, Hummel P. Cervical incompetence prevention randomized cerclage trial (CIPRACT): study design and preliminary results. American Journal of Obstetrics and Gynecology 2000; 183: 823-29.
- Owen J, Hankins G, Iams JD, Berghella V, SheKield JS, PerezDelboy A, et al. Multicenter randomized trial of cerclage for preterm birth prevention in high-risk women with shortened midtrimester cervical length. American Journal of Obstetrics and Gynecology 2009;201(4):375.e1-8.
- Tsai YL, Lin YH, Chong KM, Huang LW, Hwang JL, Seow KM. EKectiveness of double cervical cerclage in women with at least one previous pregnancy loss in the second trimester: a randomized controlled trial. Journal of Obstetrics and Gynaecology Research 2009;35(4):666-71
- Szychowski JM, Owen J, Hankins G, Iams J, SheKield J, Perez-Delboy A, et al. Timing of mid-trimester cervical length shortening in high-risk women. Ultrasound in Obstetrics & Gynecology 2009; 33(1):70-5.
- Rust O, Larkin R, Roberts W, Quinones J, Rochon M, Reed J, et al. A randomized trial of cerclage versus 17-hydroxyprogesterone (17p) for the treatment of short cervix [abstract]. American Journal of Obstetrics and Gynecology 2006; 195(6 Suppl 1):S112.
- Drakeley AJ, Roberts D, Alfirevic Z. Cervical stitch (cerclage) for preventing pregnancy loss in women. Cochrane Database of Systematic Reviews 2003, Issue 1. Art. No.: CD003253.
Ahmady, W. ., Kamawal, N. ., & Shirzad, F. . (2023). THE PREVALENCE OF CERVICAL INCOMPETENCY IN PRETERM BIRTH AND RECURRENT ABORTION. Academic Research in Educational Sciences, 4(12), 138–148. https://doi.org/
Ahmady, Wahida, et al. “THE PREVALENCE OF CERVICAL INCOMPETENCY IN PRETERM BIRTH AND RECURRENT ABORTION.” Academic Research in Educational Sciences, vol. 12, no. 4, 2023, pp. 138–148, https://doi.org/.
Ahmady, ., Kamawal, ., and Shirzad, . 2023. THE PREVALENCE OF CERVICAL INCOMPETENCY IN PRETERM BIRTH AND RECURRENT ABORTION. Academic Research in Educational Sciences. 12(4), pp.138–148.