A Cohort Study of Cervical Incompetence and the Best Choices of Treatment to Avoid Preterm Labor

We aimed at highlighting the impact of cervical incompetence in our daily obstetric practice in the Mid-Euphrates region in Al-Diwaniyah province in terms of risk factors and best way of treatment. The current cohort study has been carried out at Al-Diwaniyah Maternity and Child Teaching Hospital, Al-Diwaniyah province, Mid-Euphrates Region, Iraq. The work with this study has been established on June the 2^nd 2018 and has extended till the end of March 2019. Term pregnancy was the outcome in 17 (54.8%) cases, while, preterm labor was recorded in 14 (45.2%) cases. Age, occupation, level of education, residency and past obstetric history had no significant impact on outcome of pregnancy. According to type of treatment the best results were obtained in women treated by cervical cerclage alone or in combination with progesterone as these methods have ensured the lowest rate of preterm labor (28.6%). Bed rest alone or in combination with cerclage resulted in 50% protection against preterm labor. Progesterone alone or in combination with bed has failed to prevent preterm labor. The best way to treat cervical incompetence is cervical cerclage since it resulted in the lowest rate of preterm labor.