Prevention of preterm delivery by cervical cerclage; a comparison of prophylactic and emergency procedures

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 pa...

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Autores principales: Yüksel Şimşek, Seda, Şimşek, Erhan, Doğan Durdağ, Gülşen, Alemdaroğlu, Songül, Baran, Şafak Yılmaz, Kalaycı, Hakan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7944227/
https://www.ncbi.nlm.nih.gov/pubmed/32517429
http://dx.doi.org/10.4274/jtgga.galenos.2020.2019.0183
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author Yüksel Şimşek, Seda
Şimşek, Erhan
Doğan Durdağ, Gülşen
Alemdaroğlu, Songül
Baran, Şafak Yılmaz
Kalaycı, Hakan
author_facet Yüksel Şimşek, Seda
Şimşek, Erhan
Doğan Durdağ, Gülşen
Alemdaroğlu, Songül
Baran, Şafak Yılmaz
Kalaycı, Hakan
author_sort Yüksel Şimşek, Seda
collection PubMed
description 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±5.9 weeks 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.
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spelling pubmed-79442272021-03-19 Prevention of preterm delivery by cervical cerclage; a comparison of prophylactic and emergency procedures Yüksel Şimşek, Seda Şimşek, Erhan Doğan Durdağ, Gülşen Alemdaroğlu, Songül Baran, Şafak Yılmaz Kalaycı, Hakan J Turk Ger Gynecol Assoc Original Investigation 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±5.9 weeks 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. Galenos Publishing 2021-03 2021-02-24 /pmc/articles/PMC7944227/ /pubmed/32517429 http://dx.doi.org/10.4274/jtgga.galenos.2020.2019.0183 Text en © Copyright 2021 by the Turkish-German Gynecological Education and Research Foundation http://creativecommons.org/licenses/by/2.5/ Journal of the Turkish-German Gynecological Association published by Galenos Publishing House.
spellingShingle Original Investigation
Yüksel Şimşek, Seda
Şimşek, Erhan
Doğan Durdağ, Gülşen
Alemdaroğlu, Songül
Baran, Şafak Yılmaz
Kalaycı, Hakan
Prevention of preterm delivery by cervical cerclage; a comparison of prophylactic and emergency procedures
title Prevention of preterm delivery by cervical cerclage; a comparison of prophylactic and emergency procedures
title_full Prevention of preterm delivery by cervical cerclage; a comparison of prophylactic and emergency procedures
title_fullStr Prevention of preterm delivery by cervical cerclage; a comparison of prophylactic and emergency procedures
title_full_unstemmed Prevention of preterm delivery by cervical cerclage; a comparison of prophylactic and emergency procedures
title_short Prevention of preterm delivery by cervical cerclage; a comparison of prophylactic and emergency procedures
title_sort prevention of preterm delivery by cervical cerclage; a comparison of prophylactic and emergency procedures
topic Original Investigation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7944227/
https://www.ncbi.nlm.nih.gov/pubmed/32517429
http://dx.doi.org/10.4274/jtgga.galenos.2020.2019.0183
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