A case report on management of cervical insufficiency using Chhattisgarh balloon in second trimester cerclage for fetal membrane prolapse
Many second trimester miscarriages and neonatal deaths are caused by cervical incompetence. In second trimester if the membranes prolapse in vagina due to cervical incompetence it can be technically very difficult for the clinician to push the membranes back in cerv...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Barpeta Obstetrics and Gynaecological Society
2019-07-01
|
| Series: | New Indian Journal of OBGYN |
| Subjects: | |
| Online Access: | https://journal.barpetaogs.co.in/pdf/0660.pdf |
| _version_ | 1818016605427204096 |
|---|---|
| author | Shefali Tyagi Swapnil Bhagat Shreeja Karan |
| author_facet | Shefali Tyagi Swapnil Bhagat Shreeja Karan |
| author_sort | Shefali Tyagi |
| collection | DOAJ |
| description | Many second trimester miscarriages and neonatal deaths are caused by cervical incompetence. In second trimester if the membranes prolapse in vagina due to cervical incompetence it can be technically very difficult for the clinician to push the membranes back in cervix and apply cerclage to prolong the pregnancy. We present a case of 30 year old primi gravida who came to emergency at 22 weeks of gestation with cervix dilated to 4 cms and membranes prolapsing till the vagina. After ruling out possibility of infection, decision for rescue cerclage was taken. The membranes were deposited back in the uterus with help of Chhattisgarh balloon and Mac Donald’s stitch was applied. Patient could successfully carry her pregnancy till 35 weeks and baby did not need NICU admission. Chhattisgarh balloon can be a useful tool in low resource country like India where it can be easily prepared, inexpensive and less traumatic compared to other alternatives available as of now. |
| first_indexed | 2024-04-14T07:14:44Z |
| format | Article |
| id | doaj.art-6e59f497c5cb4f3493718e8a81b0b22d |
| institution | Directory Open Access Journal |
| issn | 2454-2334 2454-2342 |
| language | English |
| last_indexed | 2024-04-14T07:14:44Z |
| publishDate | 2019-07-01 |
| publisher | Barpeta Obstetrics and Gynaecological Society |
| record_format | Article |
| series | New Indian Journal of OBGYN |
| spelling | doaj.art-6e59f497c5cb4f3493718e8a81b0b22d2022-12-22T02:06:19ZengBarpeta Obstetrics and Gynaecological SocietyNew Indian Journal of OBGYN2454-23342454-23422019-07-0161606210.21276/obgyn.2019.6.1.15A case report on management of cervical insufficiency using Chhattisgarh balloon in second trimester cerclage for fetal membrane prolapseShefali Tyagi0Swapnil Bhagat1Shreeja Karan2Consultant, Obstetrics and Gynaecology, Cloud Nine Hospital, Bangalore, Karnataka, IndiaConsultant Radiologist, Cloud Nine Hospital, Bangalore, Karnataka, IndiaAssociate OBG, Cloud Nine Hospital, Bangalore, Karnataka, IndiaMany second trimester miscarriages and neonatal deaths are caused by cervical incompetence. In second trimester if the membranes prolapse in vagina due to cervical incompetence it can be technically very difficult for the clinician to push the membranes back in cervix and apply cerclage to prolong the pregnancy. We present a case of 30 year old primi gravida who came to emergency at 22 weeks of gestation with cervix dilated to 4 cms and membranes prolapsing till the vagina. After ruling out possibility of infection, decision for rescue cerclage was taken. The membranes were deposited back in the uterus with help of Chhattisgarh balloon and Mac Donald’s stitch was applied. Patient could successfully carry her pregnancy till 35 weeks and baby did not need NICU admission. Chhattisgarh balloon can be a useful tool in low resource country like India where it can be easily prepared, inexpensive and less traumatic compared to other alternatives available as of now.https://journal.barpetaogs.co.in/pdf/0660.pdfcervical incompetencemembrane prolapsechhattisgarh balloonmacdonald’s stitch |
| spellingShingle | Shefali Tyagi Swapnil Bhagat Shreeja Karan A case report on management of cervical insufficiency using Chhattisgarh balloon in second trimester cerclage for fetal membrane prolapse New Indian Journal of OBGYN cervical incompetence membrane prolapse chhattisgarh balloon macdonald’s stitch |
| title | A case report on management of cervical insufficiency using Chhattisgarh balloon in second trimester cerclage for fetal membrane prolapse |
| title_full | A case report on management of cervical insufficiency using Chhattisgarh balloon in second trimester cerclage for fetal membrane prolapse |
| title_fullStr | A case report on management of cervical insufficiency using Chhattisgarh balloon in second trimester cerclage for fetal membrane prolapse |
| title_full_unstemmed | A case report on management of cervical insufficiency using Chhattisgarh balloon in second trimester cerclage for fetal membrane prolapse |
| title_short | A case report on management of cervical insufficiency using Chhattisgarh balloon in second trimester cerclage for fetal membrane prolapse |
| title_sort | case report on management of cervical insufficiency using chhattisgarh balloon in second trimester cerclage for fetal membrane prolapse |
| topic | cervical incompetence membrane prolapse chhattisgarh balloon macdonald’s stitch |
| url | https://journal.barpetaogs.co.in/pdf/0660.pdf |
| work_keys_str_mv | AT shefalityagi acasereportonmanagementofcervicalinsufficiencyusingchhattisgarhballooninsecondtrimestercerclageforfetalmembraneprolapse AT swapnilbhagat acasereportonmanagementofcervicalinsufficiencyusingchhattisgarhballooninsecondtrimestercerclageforfetalmembraneprolapse AT shreejakaran acasereportonmanagementofcervicalinsufficiencyusingchhattisgarhballooninsecondtrimestercerclageforfetalmembraneprolapse AT shefalityagi casereportonmanagementofcervicalinsufficiencyusingchhattisgarhballooninsecondtrimestercerclageforfetalmembraneprolapse AT swapnilbhagat casereportonmanagementofcervicalinsufficiencyusingchhattisgarhballooninsecondtrimestercerclageforfetalmembraneprolapse AT shreejakaran casereportonmanagementofcervicalinsufficiencyusingchhattisgarhballooninsecondtrimestercerclageforfetalmembraneprolapse |