Emergency cerclage in twins during mid gestation may have favorable outcomes: Results of a retrospective cohort

Journal of Gynecology Obstetrics and Human Reproduction
Isil Uzun CilingirFusun Varol

Abstract

Cervical cerclage treatment for cervical changes at mid trimester is a very controversial topic in twins. The aim of the study was to present our maternal and fetal outcomes of mid-trimester cervical cerclage in twin pregnancies. This study was performed using data extracted from the medical files of the twin pregnancies whom performed emergency cervical cerclage between January 2012 and March 2018 at Trakya University, Facuty of Medicine, Department of Perinatology. Mean (min.-max.) gestational age at delivery was [27.3 (21-34) weeks]. The median time between cervical cerclage and delivery was 6.4 weeks, while the maximum prolongation of the pregnancy was 11 weeks. The median prolongation period of pregnancy was 4.1 weeks in patients with bulging membranes, but 10 weeks in patients with cervical effacement and cervical shortening. Eight infants died at the neonatal period. Two patients (20%) developed late abortions at 21 and 22 weeks of gestation, and 2 women (20%) delivered extremely premature neonates at the 24th weeks. Overall neonatal mortality rate was 40% (8/20 neonates). Twelve out of twenty were born alive (60%). Despite the lack of randomized controlled trials, it seems reasonable to offer emergency cervical cerclage...Continue Reading

Citations

Sep 5, 2020·Archives of Gynecology and Obstetrics·Mian PanDanlin Yang
Apr 4, 2021·Journal of Clinical Medicine·Magdalena Wierzchowska-OpokaBożena Leszczyńska-Gorzelak
Jun 3, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Chanjuan ZengWeishe Zhang
Dec 11, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Júlia PonceMontse Palacio

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