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- Title
Cotton (Umbilical) Tape as Suture Material for Cervical Cerclage: A Case Series.
- Authors
Bellad, M. B.; Shravage, J. C.; Puri, Randhir
- Abstract
Introduction: The present case series was an attempt to find out cotton (umbilical) tape usefulness as suture material for cervical encerclage as it is presterilized, easily visible and economical. Methods: Objective: To determine utility of cotton tape as suture material for cervical cerclage. Study design: A case series. Place: KLES Hospital and District Hospital, Belgaum. Period: 1997 to 2001. Inclusion criteria: Singleton pregnancy, gestational age by USG (14-26 weeks), H/o 2nd trimester abortions, H/o Pre-term labor, elective cerclage. Exclusion criteria: Medical diseases, multiple pregnancy, emergency encerclage, fetal anomalies by USG, not willing to provide consent. Outcome: Gestational age at delivery, fetal survival, morbidity [white discharge per vagina (PV), cervical dystocia, puerperal pyrexia]. Intervention: Cerclage with cotton tape. Technique: Modified Mc Donald's: The suture is commenced from the posterior surface of the cervix and knot is put in the posterior surface. Results: 89.3% (25 women) had term deliveries, i.e. 37 to 40 weeks, 7.1% (2 women) had spontaneous delivery at 36 weeks and one women (3.6%) had pre-term delivery at 30 weeks with the fetal survival was 96.4%. Conclusion: The present case series proves that the simple economical cotton (umbilical) tape is effective as a suture material for cervical encerclage. However a larger randomized trial can confirm these findings.
- Subjects
UMBILICAL cord -- Ligature; SUTURING; PREGNANCY complications; GESTATIONAL age; COTTON; THERAPEUTICS
- Publication
Journal of South Asian Federation of Obstetrics & Gynecology, 2010, Vol 2, Issue 2, p127
- ISSN
0974-8938
- Publication type
Article