Cervical Cerclage
Conditions
Keywords
N-acetyl cysteine (NAC), Cervical cerclage, cervical cerclage for cervical insufficiency
Brief summary
The aim of the study is to evaluate the effect of N-acetyl cysteine (NAC) on pregnancy outcome in women undergoing cervical cerclage for cervical insufficiency.
Detailed description
A randomized controlled clinical trial to be carried out in a university-affiliated tertiary center.Participating women will be randomized into two groups: Group A will be given an oral daily dose of 0.6 g of NAC in effervescent form; group B, serving as controls, will not receive NAC.The two groups will then be compared according to pregnancy outcome.
Interventions
oral daily dose of 0.6 g of N-acetyl cysteine in effervescent form
Sponsors
Study design
Eligibility
Inclusion criteria
* women with history suggestive of cervical insufficiency together with ultrasound findings suggestive of cervical insufficiency undergoing elective cervical cerclage between the 11th and 12th gestational week. * singelton viable fetus
Exclusion criteria
* women tested positive for bacterial vaginosis * women currently with threatened abortion (vaginal bleeding or uterinecramps) * age older than 35 years or younger than 20 years * unwillingness to participate * irregular and/or uncertain menstrual dates * rupture of membranes * previous cesarean delivery * possible risks for preterm birth in the current or previous pregnancy such as twin pregnancy, IUFD, malpresentation, known fetal anomaly, progesterone or heparin treatment during the current pregnancy, hypertension, and/or seizure disorders. * women with contra indications for cervical cerclage or anesthesia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Gestational age at delivery | 3-6 months |
Secondary
| Measure | Time frame |
|---|---|
| Take home babies, neonatal morbidity | 3-6 months |
Countries
Egypt