Hyd:Woman with two second-trimester pregnancy losses delivers healthy baby after high-risk treatment
Hyderabad, Aug 22 (TNT): Doctors at KIMS Cuddles, Secunderabad, successfully managed a high-risk pregnancy in a woman with a history of two consecutive second-trimester pregnancy losses, enabling her to carry her third pregnancy to term and deliver a healthy baby boy.
The woman had lost her first pregnancy at 16 weeks and the second at 18 weeks.
During her second pregnancy, she had undergone a conventional vaginal McDonald cerclage, but the pregnancy could not be sustained, the hospital said in a release here on Friday.
In her third pregnancy, doctors performed a laparoscopic trans-abdominal cerclage (TAC) at 14 weeks of gestation. The procedure was carried out by Dr N Bindu Priya, Senior Consultant and Lead Urogynaecologist, along with Dr Sindhura and Dr Sai Snehitha.
Dr Bindu Priya said the patient had a history of recurrent second-trimester pregnancy losses and failure of a previous vaginal cerclage.
The trans-abdominal stitch was placed at the junction of the uterus and cervix to provide stronger support and prevent premature opening of the cervix.
The patient was closely monitored following the procedure and subsequently completed the full term of pregnancy before delivering a healthy baby boy.
Dr Bindu Priya said trans-abdominal cerclage may be considered in carefully selected patients, particularly those with a history of second-trimester losses and failure of a previous vaginal cerclage.
She advised women with recurrent second-trimester pregnancy losses to seek specialist consultation early in subsequent pregnancies for appropriate evaluation and monitoring.
The doctors said the choice of cerclage and timing of intervention should be individualised based on the woman’s previous pregnancy history, cervical condition and overall clinical assessment.
TNT TS
