In:
Journal of Perinatal Medicine, Walter de Gruyter GmbH, Vol. 46, No. 8 ( 2018-10-25), p. 845-852
Abstract:
To compare pregnancy outcomes of physical examination-indicated cerclage in twin pregnancies with acute cervical insufficiency with that of singletons. Methods This retrospective cohort study included 88 consecutive women (17 twins and 71 singletons) who had undergone physical examination-indicated cerclage because of acute cervical insufficiency (defined as painless cervical dilation with (1) prolapsed and/or visible membranes at the external cervical os on speculum examination and (2) a functional cervical length of zero on transvaginal ultrasound) between 16 0/7 and 23 6/7 weeks. The primary outcome measure was preterm delivery 〈 34 weeks. Results (1) The frequency of preterm delivery 〈 34 weeks was not significantly different between the two groups [twins, 56% (9/16) vs. singleton, 53% (37/70), P 〉 0.999]. (2) The perinatal mortality was 21% (7/34) in twins and 32% (23/71) in singletons. (3) The median gestational age at delivery for twin pregnancies was 31.0 weeks (IQR, 22.6–36.5 weeks), which was similar to that of singleton pregnancies (median 32.4 weeks; IQR 22.3–38.3 weeks). (4) There were no significant differences in preterm delivery before 28 and 32 weeks, interval from cerclage to delivery within 1, 2, 4 and 8 weeks and neonatal morbidities between the two groups. Conclusion The obstetric and neonatal outcomes of physical examination-indicated cerclage in twin pregnancies were comparable to those in singleton pregnancies.
Type of Medium:
Online Resource
ISSN:
1619-3997
,
0300-5577
DOI:
10.1515/jpm-2017-0218
Language:
English
Publisher:
Walter de Gruyter GmbH
Publication Date:
2018
detail.hit.zdb_id:
1467968-1
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