Archives of gynecology and obstetrics · 2025
Asymptomatic twin pregnancies with newly short cervix at 24-276/7 weeks' gestation based on dynamic series follow-up findings: is cervical cerclage necessary?
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Xie Han, Jiang Xiang, Bao Yirong, Cao Zhijuan, Qu Xiaoxian, Wu Shengyu, Dong Jiaqi, Mao Xiaoyuan, Ying Hao
Аннотация
PURPOSE: To explore the safety and efficacy of cervical cerclage for asymptomatic twin pregnancies with a newly diagnosed short cervix between 24 and 276/7 weeks' gestation.
METHODS: Eighty-six pregnant women with asymptomatic twin pregnancies and a newly diagnosed short cervix at 24-276/7 gestational weeks were divided into two groups based on receipt of ultrasound-indicated cerclage (UIC). The primary outcome was gestational age at birth. Secondary outcomes included spontaneous preterm birth (sPTB) rates and neonatal outcomes.
RESULTS: Forty-seven participants received UIC and 39 comprised the control group. The UIC group demonstrated a significantly prolonged diagnosis-to-birth interval, higher gestational age at birth, improved ongoing pregnancy survival curve, and lower risk of sPTB at <36, 34, 32, 30, and 28 weeks compared to controls. Neonates in the UIC group had higher birth weights, lower risk of birth weight <1500 g, and reduced neonatal intensive care unit (NICU) admission rates.
CONCLUSION: UIC performed at 24-276/7 weeks for asymptomatic twin pregnancies with a newly diagnosed short cervix can prolong gestation, reduce severe sPTB, and improve short-term perinatal outcomes.
METHODS: Eighty-six pregnant women with asymptomatic twin pregnancies and a newly diagnosed short cervix at 24-276/7 gestational weeks were divided into two groups based on receipt of ultrasound-indicated cerclage (UIC). The primary outcome was gestational age at birth. Secondary outcomes included spontaneous preterm birth (sPTB) rates and neonatal outcomes.
RESULTS: Forty-seven participants received UIC and 39 comprised the control group. The UIC group demonstrated a significantly prolonged diagnosis-to-birth interval, higher gestational age at birth, improved ongoing pregnancy survival curve, and lower risk of sPTB at <36, 34, 32, 30, and 28 weeks compared to controls. Neonates in the UIC group had higher birth weights, lower risk of birth weight <1500 g, and reduced neonatal intensive care unit (NICU) admission rates.
CONCLUSION: UIC performed at 24-276/7 weeks for asymptomatic twin pregnancies with a newly diagnosed short cervix can prolong gestation, reduce severe sPTB, and improve short-term perinatal outcomes.