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A comparison of emergency and therapeutic modified Shirodkar cerclage: an analysis of 38 consecutive cases

OBJECTIVE: To compare the maternal and neonatal outcomes of patients with emergency versus therapeutic cerclage. MATERIALS AND METHODS: The study included 38 female patients who underwent cervical cerclage using the modified Shirodkar method in the Obstetrics and Gynecology Clinics of Düzce Universi...

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Detalles Bibliográficos
Autores principales: Başbuğ, Alper, Doğan, Ozan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463426/
https://www.ncbi.nlm.nih.gov/pubmed/31019833
http://dx.doi.org/10.4274/tjod.galenos.2018.33410
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author Başbuğ, Alper
Doğan, Ozan
author_facet Başbuğ, Alper
Doğan, Ozan
author_sort Başbuğ, Alper
collection PubMed
description OBJECTIVE: To compare the maternal and neonatal outcomes of patients with emergency versus therapeutic cerclage. MATERIALS AND METHODS: The study included 38 female patients who underwent cervical cerclage using the modified Shirodkar method in the Obstetrics and Gynecology Clinics of Düzce University Medical Faculty Hospital and Düzce Atatürk State Hospital. RESULTS: The operating time for the emergency cerclage group was significantly longer than that of the therapeutic group (30.40 minutes vs 19.85 minutes, p=0.001). Following the cerclage procedure, the cervical length was longer in the therapeutic cerclage group [29.90 millimeters (mm) vs. 22.45 mm, p=0.001]. The cerclage to birth interval was also longer in the therapeutic group (91 vs. 138 days). CONCLUSION: In comparison with therapeutic cerclage, the total duration of pregnancy after emergency cerclage is shorter, and newborns have a greater need for intensive care. Both methods, however, protect against advanced prematurity, which causes neonatal loss.
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spelling pubmed-64634262019-04-24 A comparison of emergency and therapeutic modified Shirodkar cerclage: an analysis of 38 consecutive cases Başbuğ, Alper Doğan, Ozan Turk J Obstet Gynecol Clinical Investigation OBJECTIVE: To compare the maternal and neonatal outcomes of patients with emergency versus therapeutic cerclage. MATERIALS AND METHODS: The study included 38 female patients who underwent cervical cerclage using the modified Shirodkar method in the Obstetrics and Gynecology Clinics of Düzce University Medical Faculty Hospital and Düzce Atatürk State Hospital. RESULTS: The operating time for the emergency cerclage group was significantly longer than that of the therapeutic group (30.40 minutes vs 19.85 minutes, p=0.001). Following the cerclage procedure, the cervical length was longer in the therapeutic cerclage group [29.90 millimeters (mm) vs. 22.45 mm, p=0.001]. The cerclage to birth interval was also longer in the therapeutic group (91 vs. 138 days). CONCLUSION: In comparison with therapeutic cerclage, the total duration of pregnancy after emergency cerclage is shorter, and newborns have a greater need for intensive care. Both methods, however, protect against advanced prematurity, which causes neonatal loss. Galenos Publishing 2019-03 2019-03-27 /pmc/articles/PMC6463426/ /pubmed/31019833 http://dx.doi.org/10.4274/tjod.galenos.2018.33410 Text en ©Copyright 2019 by Turkish Society of Obstetrics and Gynecology | Turkish Journal of Obstetrics and Gynecology published by Galenos Publishing House. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Investigation
Başbuğ, Alper
Doğan, Ozan
A comparison of emergency and therapeutic modified Shirodkar cerclage: an analysis of 38 consecutive cases
title A comparison of emergency and therapeutic modified Shirodkar cerclage: an analysis of 38 consecutive cases
title_full A comparison of emergency and therapeutic modified Shirodkar cerclage: an analysis of 38 consecutive cases
title_fullStr A comparison of emergency and therapeutic modified Shirodkar cerclage: an analysis of 38 consecutive cases
title_full_unstemmed A comparison of emergency and therapeutic modified Shirodkar cerclage: an analysis of 38 consecutive cases
title_short A comparison of emergency and therapeutic modified Shirodkar cerclage: an analysis of 38 consecutive cases
title_sort comparison of emergency and therapeutic modified shirodkar cerclage: an analysis of 38 consecutive cases
topic Clinical Investigation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463426/
https://www.ncbi.nlm.nih.gov/pubmed/31019833
http://dx.doi.org/10.4274/tjod.galenos.2018.33410
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