The mainstay of treatment for cervical incompetence is a surgical procedure, namely cervical cerclage. This entails the placement of a surgical suture around the cervix as close as possible to the level of the internal cervical os. This A cross sectional study conducted in Obstetrics and Gynecology ward and outpatient clinic in Salah Al-Din Teaching Hospital at the period from the first of March 2018 to the end of August 2018. Convenience sample of (120) women in different ages. Mean BMI of pregnant women was (31 ±5 Kg/m2); 8.3% had normal BMI, 35% were overweight and 56.7% of them were obese. Urban residence was observed in 70.8% of pregnant women. Smoking of husbands, Diabetes mellitus was recorded for one pregnant woman only and hypertension was observed in 10 pregnant women. No significant difference was observed between pregnant women with 1st cerclage and those with previous cerclage regarding BMI and occupation of pregnant women. There was significant association between urban residency and recurrent cerclage (p=0.005). A significant association was observed between women with husband smoking and 1st time cerclage (p=0.02). Cervical incompetence and recurrent 2nd trimester pregnancy was the significant indication for recurrent cerclage while preterm labour was the significant indication for 1st cerclage (p<0.001). A significant association was observed between rescue indication and 1st time cerclage (p=0.005). most pregnant women were obese, Urban residence was high observed in of pregnant women. No significant difference between pregnant women with 1st cerclage and those with previous cerclage regarding BMI and occupation of pregnant women, but significant association between urban residency and recurrent cerclage (p=0.005), also significant association between women with husband smoking and 1st time cerclage (p=0.02). Cervical incompetence and recurrent 2nd trimester pregnancy was significant indication for recurrent cerclage while preterm labour was the significant indication for 1st cerclage (p<0.001), and significant association between rescue indication and 1st time cerclage (p=0.005).

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