3. THE RESULT OF LOOP STITCHING THE CERVIX AT NGHE AN OBSTETRICS AND PEDIATRICS HOSPITAL

Tang Xuan Hai1, Tran Minh Long1, Nguyen Xuan1
1 Nghe An Obstetrics and Children's Hospital

Main Article Content

Abstract

Objectives: To evaluate the results of loop stitching the cervix to prevent miscarriages and premature
births at Nghe An Obstetrics and Pediatrics Hospital. Methods: Cross-sectional description of all
patients who underwent loop stitching of the cervix at Nghe An Obstetrics and Pediatrics Hospital.
Result: Mainly, pregnant women were stitched at 12-15 weeks (63.8%). The mean age of the fetus
was 15.2±2.7 weeks. 94.2% of pregnant women had no complications: infection or miscarriage in 3
days after stitches. The neonatal survival rate was 94.2%. Full-term birth has 58 cases, accounting
for 84.1%. Miscarriage and highly premature birth under 28 weeks is 4.3%. Normal birth accounts
for a high rate of 85.5%. There were no cases of surgical intervention. Conclusions: The method of
loop stitching the cervix is safe, suitable for many conditions of pregnancy, and helps to improve the
outcome of a pregnancy.

Article Details

References

[1] Vogel JP, Chawanpaiboon S, Moller AB et al.,
The global epidemiology of preterm birth. Best
Pract Res Clin Obstet Gynaecol, 52, 3–12, 2018.
[2] Kurup M, Goldkrand JW, Cervical incompetence:
elective, emergent, or urgent cerclage. Am J
Obstet Gynecol, 181(2), 240–246, 1999.
[3] ACOG Practice Bulletin No.142: Cerclage for the
management of cervical insufficiency - PubMed.
,
accessed: 01/20/2021.
[4] Nguyễn Thị Ngọc Thuỷ, Nguyễn Thị Kiều Ngân,
Đánh giá hiệu quả khâu vòng cổ tử cung trong
điều trị dự phòng sinh non cho các thai phụ có tiền
sử sảy thai, sinh non tại Bệnh viện Phụ Sản Trung
ương, Tạp chí Phụ sản, 12(2), 89-92, 2014.
[5] Mai Đức Tiến, Nguyễn Minh Nhật, Bùi Thị
Phương Loan & cs, Hiệu quả khâu vòng cổ tử
cung trên các thai phụ song thai có cổ tử cung
ngắn, Tạp chí Phụ sản, 15 (1), 22-25, 2017.
[6] Owen J, Hankins G, Iams JD et al., Multicenter
randomized trial of cerclage for preterm birth
prevention in high-risk women with shortened
midtrimester cervical length. Am J Obstet
Gynecol, 201(4), 375.e1-8, 2009.
[7] Noehr B, Jensen A, Frederiksen K et al., Loop
electrosurgical excision of the cervix and
subsequent risk for spontaneous preterm delivery:
a population-based study of singleton deliveries
during a 9-year period. Am J Obstet Gynecol,
201(1), 33.e1-6, 2009.
[8] Danhof N, Kamphuis E, Mol B, Loop
electrosurgical excision procedure and risk of
preterm birth. Obstet Gynecol, 124(1), 163, 2014.