Experience with MacDonald's cervical cerclage in a rural setting.

Eighty-two patients with cervical incompetence were managed with MacDonald's cervical cerclage, bed rest, tocolytics and sedatives. 78 of the patients were followed upto termination of pregnancy and their pregnancy data recorded. 69.5% delivered at term. 78.1% were discharged from hospital with live babies. The incidence of operative delivery was encountered. MacDonald's cervical cerclage has a high success rate in a rural setting, well comparable to that in urban settings and prolonged in-patient treatment is not always necessary.