None listed
Conditions
Brief summary
pregnant women were screened by trans- vaginal sonography for cervical length. Women with short cervix received vaginal progesterone 200 mg for prevention of pre-term labor. women with progressive shortening despite of progesterone had cervical cerclage done. All screened women were followed till the end of pregnancy and gestational age at delivery recorded.
Interventions
Transvaginal sonographic screening to measure cervical length was done.Cases with sonographically detected short cervix during mid-trimester of pregnancy were given vaginal progesterone 200 mg/day and followed up weekly for cervical length for 4 weeks. Adherence to treatment is confirmed only by patients' verbal confirmation. If progressive shortening was detected; Mcdonald cervical cerclage suture was placed. The procedure is a 10 minutes procedure done under general anaesthesia in which a synthetic band is inserted and tied around the cervix as high as possible to close internal cervical os.
Sponsors
Study design
Eligibility
Inclusion criteria
nulliparous women, singleton pregnancy, spontaneously conceived, not on medications, not diabetic or hypertensive.
Exclusion criteria
previous history of pre-term labor, abnormal sonographic findings like polyhydramnios, placenta previa or fetal anomalies.