SavedAdd your journal

Journals / Perinatoloji Dergisi / 2019 / Cilt: 27 - Sayı: 1

The efficiency of emergency cerclage for the prevention of pregnancy losses and preterm labor

Gebelik kayıpları ve preterm doğumun önlenmesinde acil serklajın etkinliği

Altuğ SEMİZ
Resul ARISOY
Necip Cihangir YILANLIOĞLU
Pages
1–5
Publication Date
2022-10-18
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The rates of preterm labor (

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: To analyze the gestational outcomes of the cases who underwent emergency cerclage in our clinic.
📊
Key Findings & Data:Methods: The cases which underwent emergency cerclage in Memorial fiiflli Hospital between 2005 and 2017 were analyzed retrospectively.
💡
Conclusion & Impact:The rates of preterm labor (
🔬Design:Research Article
📍Scope:2005 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: To analyze the gestational outcomes of the cases who underwent emergency cerclage in our clinic. Methods: The cases which underwent emergency cerclage in Memorial fiiflli Hospital between 2005 and 2017 were analyzed retrospectively. Of the cases with singleton pregnancy, those without pain and uterine contraction, those with visible cervical dilatation and amniotic membrane or those with prolapsed to vagina were included in the study. The cases without cervical dilation, multiple pregnancies, the cases which clinically have chorioamnionitis, preterm premature rupture of membrane, vaginal bleeding and ablatio placentae and the pregnant women with a chronic disease were excluded from the study. The clinical characteristics and gestational outcomes of the cases were analyzed. Results: We included a total of 28 cases in our study. Mean week of gestation was 20.9±3.2 during the cerclage procedure, delivery week was 32.4±5.5, and mean period between cerclage and delivery was 81.1±42.5 days (11.6±6.08 weeks). Late pregnancy loss was seen in two (7.1%) cases. The rates of preterm labor (

Özet

Amaç: Klini¤imizde yap›lan acil serklaj olgular›n›n gebelik sonuçlar›n› de¤erlendirmek. Yöntem: 2005–2017 y›llar› aras›nda Memorial fiiflli Hastanesinde acil serklaj yap›lan olgular retrospektif olarak de¤erlendirildi. Olgulardan, a¤r›s› ve uterin kontraksiyonu olmayan, servikal aç›kl›¤› ve amniyotik membran› görünen veya vajene prolabe olan tekil gebelikler çal›flmaya dahil edildi. Servikal aç›kl›¤› olmayan olgular, ço¤ul gebelikler, klinik olarak koryoamnionit, preterm erken membran rüptürü, vajinal kanama ve plasenta dekolman› olan olgular ve yine kronik hastal›¤› olan gebeler çal›flma d›fl› b›rak›ld›. Olgular›n klinik özellikleri ve gebelik sonuçlar› analiz edildi. Bulgular: Çal›flmam›za 28 olgu dahil edildi. Serklaj iflleminin yap›ld›¤› ortalama gebelik haftas› 20.9±3.2, do¤um haftas› 32.4±5.5 ve serklaj ile do¤um aras›ndaki ortalama süre 81.1±42.5 gün (11.6±6.08 hafta) olarak bulundu. ‹ki olguda (%7.1) geç gebelik kayb› saptand›. Preterm (

🔖

Cite This Article

SEMİZ, A., ARISOY, R., YILANLIOĞLU, N. C. (2022). The efficiency of emergency cerclage for the prevention of pregnancy losses and preterm labor. Perinatoloji Dergisi, Cilt: 27 - Sayı: 1, 1–5. https://ajindex.com/articles/588351

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. American College of Obstetricians and Gynecologists. Practice bulletin no. 142: cerclage for the management of cervical insufficiency. Obstet Gynecol 2014;123:372–9
  2. Debbs RH, Chen J. Contemporary use of cerclage in pregnancy. Clin Obstet Gynecol 2009;52:597–610
  3. Goldenberg RL, Culhane JF, Iams JD, Romero R. Epidemiology and causes of preterm birth. Lancet 2008;371 (9606):75–84
  4. Leduc L, Wasserstrum N. Successful treatment with the Smith-Hodge pessary of cervical incompetence due to defective connective tissue in Ehlers-Danlos syndrome. Am J Perinatol 1992;9:25–7
  5. Rackow BW, Arici A. Reproductive performance of women with müllerian anomalies. Curr Opin Obstet Gynecol 2007; 19:229–37
  6. Albrechtsen S, Rasmussen S, Thoresen S, Irgens LM, Iversen OE. Pregnancy outcome in women before and after cervical conisation: population based cohort study. BMJ 2008;337: a1343
  7. Shirodkar VN. A new method of operative treatment for habitual abortion in the second trimester of pregnancy. Antiseptic 1955;52:299
  8. McDonald IA. Suture of the cervix for inevitable miscarriage. J Obstet Gynaecol Br Emp 1957;64:346–50
  9. Ciavattini A, Delli Carpini G, Boscarato V, Febi T, Di Giuseppe J, Landi B. Effectiveness of emergency cerclage in cervical insufficiency. J Matern Fetal Neonatal Med 2016;29: 2088–92
  10. Stupin JH, David M, Siedentopf JP, Dudenhausen JW. Emergency cerclage versus bed rest for amniotic sac prolapse before 27 gestational weeks. A retrospective, comparative study of 161 women. Eur J Obstet Gynecol Reprod Biol 2008; 139:32–7
  11. Aoki S, Ohnuma E, Kurasawa K, Okuda M, Takahashi T, Hirahara F. Emergency cerclage versus expectant management for prolapsed fetal membranes: a retrospective, comparative study. J Obstet Gynaecol Res 2014;40:381–6
  12. Prasad NN, Thampan SA, Nagarathnamma R. Emergency cervical cerclage and pregnancy outcomes. Int J Reprod Contracept Obstet Gynecol 2017;6:1993–8
  13. Zhu LQ, Chen H, Chen LB, Liu YL, Tian JP, Wang YH, et al. Effects of emergency cervical cerclage on pregnancy outcome: a retrospective study of 158 cases. Med Sci Monit 2015; 21:1395–401
  14. Çok T, Özdemir H, Kalayc› H, Yetkinel S, Aytaç PÇ, Tar›m E. Single-center 4-year outcomes of patients underwent cervical cerclage to prevent preterm labor. Perinatal Journal 2016; 24:1–5
  15. Gupta M, Emary K, Impey L. Emergency cervical cerclage: predictors of success. J Matern Fetal Neonatal Med 2010;23: 670–4
  16. Namouz S, Porat S, Okun N, Windrim R, Farine D. Eme