OBJECTIVE: To determine whether the outcome of pregnancies following cervical cerclage in rural Tanzania justifies its application in remote areas. METHOD: Retrospective review of 16 singleton pregnancies in 13 women, who underwent cervical cerclage in a rural hospital in Tanzania during 1990-1995. RESULTS: Ten (62.5%) live children were born. Seven women (43.8%) delivered after a gestational age of 37 weeks. Severe maternal complications were encountered 5 times (31.3%): 4 severe cervical lacerations and 1 uterine rupture. CONCLUSION: One should be reluctant to apply cervical cerclage in remote rural areas due to the high rate of maternal complications, as patients' delay in reaching the hospital may be considerable in cases of preterm birth.
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Jongen et al. (1997) studied this question.
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