Quantification of cervical change: Relationship to preterm delivery in the multifetal gestation
46
Citation
31
Reference
10
Related Paper
Citation Trend
Keywords:
Cervical cerclage
Preterm labour
The effect of cervical suture on pregnancy outcome was studied in 194 women with a high risk (approximately 30%) of having a late abortion or a preterm delivery. The women were randomly allocated either to have a cervical suture inserted (n = 96) or to be managed without a suture (n = 98). There was no evidence that cervical cerclage either prolonged gestation or improved survival. Patients allocated to receive cerclage spent significantly longer in hospital, even when the period of admission for insertion was excluded. The patients in the cerclage group were more likely to receive tocolytic drugs, and more of them experienced puerperal pyrexia, although these differences between the groups were not statistically significant.
Cervical cerclage
Cervical dilatation
Tocolytic agent
Cervical insufficiency
Cite
Citations (247)
Preterm labour
Rupture of membranes
Cite
Citations (2)
Honest, Honest; Coomarasamy, Aravinthan; Bachmann, Lucas M.; Khan, Khalid S. Author Information
Cervical cerclage
Cite
Citations (10)
Objective: Prophylactic or emergency type cervical cerclage procedures are being used for treatment of cervical insufficiency.The aim was to review and compare the outcomes of these cerclage types and identify factors affecting outcomes. Material and Methods:Retrospective review of seventy-five patients in whom transvaginal cervical cerclage procedures were performed over a seven-year period in a tertiary referral center.Results: Twenty seven of 75 (36%) patients were in the emergency cerclage group and 48 (64%) of them were in the prophylactic group.Mean body mass index (BMI), hospitalization time and gestational week at cerclage were significantly higher, whereas latency period was significantly shorter for the emergency group.Mean gestational ages at delivery were 35.6±4.5 and 33.6±5.9weeks in the prophylactic and emergency groups, respectively (p=0.117).Delivery rates under 34 th gestational week were 20.8% and 37.0% in the prophylactic and emergency groups, respectively (p=0.175).Birthweight, and delivery ≥34 th gestational week was higher in the prophylactic group, whereas complication rate was higher in the emergency group, but these differences were not significant.High BMI was associated with more deliveries before 34-week in the prophylactic group.Pre-cerclage cervical length was shorter in patients who delivered before 34 gestational weeks at delivery. Conclusion:Prophylactic and emergency cerclage procedures have comparable results regarding gestational week at delivery.High BMI and low pre-cerclage cervical length may have adverse effects on success of cerclage procedures.(
Cervical cerclage
Cite
Citations (9)
Objective
To determine whether the level of an ultrasound (USS) indicated cervical cerclage is a factor in the subsequent risk of preterm delivery.Study Design and Results
A retrospective cohort study of women with a singleton pregnancy undergoing USS-indicated cerclage in two UK tertiary referral centres between 2001–2011. Demographic data, cervical dimensions (length, suture distance from external/internal os) and obstetric outcomes were obtained. In 131 women undergoing USS-indicated cerclage, the preterm birth rate at <34 and <37 weeks gestation was 28% and 41% respectively. The cohort was divided according to cerclage height from the external os or suture height as percentage of total cervical length, at first USS after suture insertion and the RR of preterm delivery at 34 and 37 weeks calculated (Table 1).Conclusion
It has been thought, historically, that the closer a cervical cerclage is to the internal os the more effective it will be, but this has never been proven. This is the largest reported cohort of USS-indicated cervical cerclage and shows that the higher a cervical cerclage is placed the lower the subsequent risk of preterm delivery. When placing a cervical cerclage every effort should be made to place it as high as possible.Cervical cerclage
Cite
Citations (0)
Cervical cerclage
Singleton
Premature birth
Cite
Citations (43)
Objective:To compare the clinical therapeutic effects of cervical cerclage and bed rest to prevent preterm delivery on pregnants with cervical insufficiency.Methods:Applying retrospective study,we collected the medical history information on 83 women diagnosised as cervical insufficiency from 2005 to 2007 in the department of gynaecology and obstetrics of our hospital.In 83 women,55 women assigned to receive cervical cerclage(A group),28 women assigned to receive bed rest(B group).Results:Preterm delievery before 34 weeks of gestation occurred in 7 of 55 women (90.90%) treated with cervical cerclage,and in 4 of 28 women (21.43%) treated with bed rest.There was significant difference in gestation age at delivery between the 2 groups.Conclusion:Cervical cerclage is an effective approach to treat cervical insufficiency and prevent preterm delivery.
Cervical insufficiency
Cervical cerclage
Rest (music)
Cervical dilatation
Preterm labour
Cite
Citations (0)
Cervical cerclage
Cervical insufficiency
Cite
Citations (2)
Cervical cerclage
Cervical dilatation
Cervical insufficiency
Cite
Citations (0)