oa Central African Journal of Medicine - Cervical ligation in the treatment of incompetent cervix in Nigerian women

Volume 30, Issue 11
  • ISSN : 0008-9176



Analysis of 165 consecutive pregnancies complicated by cervical incompetence in 127 women, between January 1974 and December 1981 at the University of Nigeria Teaching Hospital, Enugu, Nigeria, showed an incidence of 0.45 percent. In the 99 subjects studied in detail, fetal salvage improved to 73.74 percent from a pre-operative rate of 44.35 percent. Surprisingly, only 29.3 percent of the patients belonged to the lowest socio-economic group. o Although one patient died from endotoxic shock, the incidence of post-cerclage complications was low, the commonest being vaginal bleeding and sepsis, missed abortion and threatened abortion/premature labour.

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