CORRELATED OF CRITERIA CERVICAL CERCLAGE WITH EARLY BIRTH AND NORMAL BIRTH IN TIKRIT PREGNANCY WOMEN

Assist. Prof. Dr. Nabella Kamel Yakoob*, Sammar Mounther Jamal* and Assist. Prof. Dr. Nihad Khalawe Tektook*

ABSTRACT

Bakground: During normal pregnancy the neck of the womb (cervix) stays tightly closed, allowing the pregnancy to reach full term. Cervical cerclage is an efficient method to mechanically prevent the cervix from further dilation. Aim and Method: This A cross sectional study conducted in Obstetrics and Gynecology ward and outpatient clinic in Salah Al-Din Teaching Hospital at the period from the first of March 2018 to the end of August 2018. Convenience sample of (120) women in different ages. Results: A total of 120 pregnant women were included in this study with mean age of 31±6 years; 3.3% of them were less than 20 years age and 58.3% of them were in age group 30-39 years. Mean gravida of pregnant women was (42); 10% of them had 1-2 gravida, and 49.2% of them had grvida 5 and more, main indication for cervical cerclage was cervical incompetence and recurrent 2nd trimester pregnancy losses (28.5%), followed by cervical incompetence and preterm labour (21.8%), cervical incompetence (15.1%), etc. Cervical incompetence is depending mainly on history and US indicated (40.0%). Cervical cerclage was done in first time for 54.2% of pregnant women and was done previously for 45.8% of pregnant women. Conclusion: The main indication for cervical cerclage are history and U/S indicated present in 40.0% of cases.

Keywords: Criteria Cervical Cerclage; early birth; normal birth; pregnancy women.