The effects of cervical cerclage practice on perinatal and neonatal outcomes according to the indications

Endikasyonlar›na göre servikal serklaj uygulamas›n›n perinatal ve neonatal sonuçlar üzerine etkisi

Abstract

Objective: The aim was to investigate the perinatal and neonatal outcomes in the cases which underwent cervical cerclage, and to compare the elective and emergency cerclage cases. Methods: The cases that underwent cervical cerclage in the Hospital of the Faculty of Medicine at Akdeniz University between January 2014 and December 2019 were assessed retrospectively, and separated into 3 categories as the prophylactic, elective and emergency groups. The demographic characteristics and perinatal and neonatal outcomes were recorded and they were compared between the groups. Results: A total of 92 cases with singleton pregnancy between 12 and 24 weeks of gestation were included in the study. The prophylactic cerclage group consisted of 48 cases, the elective cerclage group consisted of 21 cases and the emergency cerclage group consisted of 23 cases. The rate of the cases delivered at term (≥37 weeks of gestation) was found significantly lower in the emergency cerclage group than the rates of the cases in the prophylactic and elective cerclage groups (26.1%, 70.8% and 66.7%; respectively). While there was no significant difference between the prophylactic and elective cerclage groups in terms of premature preterm labor (

Özet

Amaç: Servikal serklaj uygulanan olgularda gebelik ve neonatal sonuçlar›n incelenerek profilaktik, elektif ve acil serklaj olgular›n›n karfl›laflt›r›lmas› amaçland›. Yöntem: Ocak 2014 ile Aral›k 2019 tarihleri aras›nda Akdeniz Üniversitesi T›p Fakültesi Hastanesinde uygulanan servikal serklaj olgular› retrospektif olarak incelenerek serklaj endikasyonlar›na göre profilaktik, elektif ve acil olmak üzere 3 gruba ayr›ld›. Olgular› n demografik özellikleri, gebelik ve neonatal sonuçlar› kaydedildi ve gruplar aras›nda karfl›laflt›rma yap›ld›. Bulgular: Çal›flmaya 12 ile 24. gebelik haftalar› aras›nda tekil gebeli¤ i olan toplam 92 olgu dahil edildi. Profilaktik serklaj grubu 48 olgu, elektif serklaj grubu 21 olgu, acil serklaj grubu ise 23 olgudan oluflmaktayd›. Miad›nda do¤um (≥37. gebelik haftas›) yapan olgular›n oran› acil serklaj grubunda profilaktik ve elektif serklaj gruplar›na göre anlaml› olarak düflük saptand› (s›ras›yla %26.1, %70.8 ve %66.7). Erken preterm do¤um (