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The Management of Cervical Incompetence

UCLA Experience with Cerclage Procedures

From the Department of Obstetrics and Gynecology, UCLA School of Medicine, Los Angeles, Calif 90024

Abstract

Cervical cerclage procedures were performed on 25 patients at the UCLA Hospital from 1958 to 1971. A total of 38 operations of four types were performed on these patients during a time interval corresponding to 26,474 deliveries. These 38 operations were followed by 29 live births and 9 failures. The cumulated preoperative fetal salvage was 26% of 120 pregnancies, which includes 51 mid-trimester losses. The postoperative salvage rate, including surviving premature deliveries, was 76%. A failure rate of 50% was noted in patients sutured after 20 weeks, compared to 11% in patients sutured before 20 weeks' gestation. Significant complications were found in 18 cases, including infections, cervical stenosis and subsequent operative delivery.