Case Report : A 36 Years Old Woman Suspected With Cervix Incompetence At Prof. W. Z. Johaness Hospital, Kupang, East Nusa Tenggara, Indonesia
-
Dewa Gede Agung Sasmara Putera(1*)
Mahasiswa
-
Lambertus Bambang Tokan(2)
(*) Corresponding Author
Abstract
Cervical incompetence is the inability of the cervix to maintain a pregnancy due to functional or structural defects in the cervix. Transvaginal ultrasound examination is the gold standard for determining an incompetent cervix. The patient is a 36-year-old woman with a history of 6 preterm births with no known cause. The patient first came with preterm labor but was sent home and 2 days later came back to the emergency room after spontaneous delivery at home. Supportive treatment such as cerclage sutures can prevent infection and can maintain gestation to term to prevent the dangers of preterm labor.
Downloads
References
Wang HL, Yang Z, Shen Y, Wang QL. [Clinical outcome of therapeutic cervical cerclage in short cervix syndrome].Zhonghua Fu Chan Ke Za Zhi. 2018 Jan 25;53(1):43-46. [PubMed: 29374885]
Thakur M, Mahajan K. Cervical Incompetence. [Updated 2022 Aug 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK525954/
Wei M, Jin X, Li TC, Yang C, Huang D, Zhang S. A comparison of pregnancy outcome of modified transvaginal cervicoisthmic cerclage performed prior to and during pregnancy. Arch Gynecol Obstet. 2018 Mar;297(3):645-652. [PubMed: 29302808]
Wei M, Jin X, Li TC, Yang C, Huang D, Zhang S. A comparison of pregnancy outcome of modified transvaginal cervicoisthmic cerclage performed prior to and during pregnancy. Arch Gynecol Obstet. 2018 Mar;297(3):645-652. [PubMed: 29302808]
Lee KN, Whang EJ, Chang KH, Song JE, Son GH, Lee KY. History-indicated cerclage: the association between previous preterm history and cerclage outcome. Obstet Gynecol Sci. 2018 Jan;61(1):23-29. [PMC free article: PMC5780317] [PubMed:29372146]
Negrete LM, Spalluto LB. Don't be short-sighted: cervical incompetence in a pregnant patient with acute appendicitis. Clin Imaging. 2018 Sep-Oct; 51:35-37. [Pub Med: 29414522]
Gonzales SK, Adair CD, Torres C, Rodriguez ED, Mohling S, Elkattah R, DePasquale S. Robotic-Assisted Laparoscopic Abdominal Cerclage Placement During Pregnancy. J Minim Invasive Gynecol. 2018 Jul• Aug;25(5):832-835. [PubMed: 29288737]
Monckeberg M, Valdes R, Kusanovic JP, Schepeler M, Nien JK, Pertossi E, Silva P, Silva K, Venegas P, Guajardo U, Romero R, Illanes SE. Patients with acute cervical insufficiency without intra-amniotic infection/inflammation treated with cerclage have a good prognosis. J Perinat Med. 2019 Jul 26;47(5):500-509. [PMC free article: PMC6606339] [PubMed: 30849048]
Brown R, Gagnon R, Delisle MF. No. 373-Cervical Insufficiency and Cervical Cerclage. J Obstet Gynaecol Can.2019 Feb;41(2):233-247. [PubMed: 30638557]
Tyan P, Mourad J, Wright B, Winter M, Garza D, Smith R, Brink J, Wei C, Moawad G. Robot-assisted transabdominal cerclage for the prevention of preterm birth: A multi-center experience. Eur J Obstet Gynecol Reprod Biol. 2019 Jan; 232:70-74. [PubMed: 30476879]
Bieber KB, Olson SM. Cervical Cerclage. [Updated 2022 Aug 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560523/
Wood SL, Owen J. Cerclage: Shirodkar, McDonald, and Modifications. Clin Obstet Gynecol. 2016 Jun;59(2):302-10.
Alfirevic Z, Stampalija T, Medley N. Cervical stitch (cerclage) for preventing preterm birth in singleton pregnancy. Cochrane Database Syst Rev. 2017 Jun 06;6(6):CD008991.
Suhag A, Berghella V. Cervical cerclage. Clin Obstet Gynecol. 2014 Sep;57(3):557-67.
Sperling JD, Dahlke JD, Gonzalez JM. Cerclage Use: A Review of 3 National Guidelines. Obstet Gynecol Surv. 2017 Apr;72(4):235-241.
ACOG Practice Bulletin No.142: Cerclage for the management of cervical insufficiency. Obstet Gynecol. 2014 Feb;123(2 Pt 1):372-379.
Chen Q, Chen G, Li N. Clinical effect of emergency cervical cerclage and elective cervical cerclage on pregnancy outcome in the cervical-incompetent pregnant women. Arch Gynecol Obstet. 2018 Feb;297(2):401-407.
Copyright (c) 2023 Cendana Medical Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright Notice
This work is licensed under a Creative Commons Attribution 4.0 International License.
