Does emergency cerclage really works in patients with advanced cervical dilatation?

dc.authorwosidSAYIN, N. CENK/A-5801-2018
dc.contributor.authorCilingir, Isil Uzun
dc.contributor.authorSayin, Cenk
dc.contributor.authorSutcu, Havva
dc.contributor.authorInan, Cihan
dc.contributor.authorErzincan, Selen
dc.contributor.authorYener, Cem
dc.contributor.authorVarol, Fusun
dc.date.accessioned2024-06-12T11:00:14Z
dc.date.available2024-06-12T11:00:14Z
dc.date.issued2019
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective: To asses the efectivity of emergency cerclage in the patients with advance cervical dilatation and prolapsed membranes. Material methods: The patients who have >= 4 cm cervical dilatation with protruding membranes were included in the study. The patients were divided into two groups. Group I was consisted of the patients who had emergency cerclage procedure and group II was consisted of the patients who denied the operation and expectantly managed. The physical examination, pregnancy outcomes and the complications were compared between the groups. The results of the patients with emergency cerclage were analysed. Results: 21 patients were referred with a >= 4 cm cervical dilatation with protruding membranes 33.3% of women with emergency cerclage were delivered within one week from the admission. One patient, who was a grand multiparous (G6P4A1), was delivered a healthy infant at 40 weeks of gestation. The remaining five patients were delivered between 21 and 24 weeks, but all the infants were died due to extreme prematurity. Two patients (22.2%) developed chorioamnionitis that necessitated long hospitalization (14-21 days). In group II (expectant management) 83,3% of the patients were delivered within the 48 h from the admission. There were no case of chorioamnionitis in group II. Conclusion: Emergency cervical cerclage is not a rationale option for the patients with an advanced cervical dilation (>4 cm) together with protruding membranes in early second trimester because of the short prolongation time and high complication rate. (C) 2019 Elsevier Masson SAS. All rights reserved.en_US
dc.identifier.doi10.1016/j.jogoh.2019.01.002
dc.identifier.endpage390en_US
dc.identifier.issn2468-7847
dc.identifier.issn1773-0430
dc.identifier.issue6en_US
dc.identifier.pmid30634003en_US
dc.identifier.scopus2-s2.0-85059740354en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage387en_US
dc.identifier.urihttps://doi.org/10.1016/j.jogoh.2019.01.002
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20758
dc.identifier.volume48en_US
dc.identifier.wosWOS:000503809600003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Masson, Corp Offen_US
dc.relation.ispartofJournal Of Gynecology Obstetrics And Human Reproductionen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEmergency Cerclageen_US
dc.subjectAdvanced Cervical Dilatationen_US
dc.subjectProlapsed Membranesen_US
dc.subjectPreterm Birthen_US
dc.subjectFetal Membranesen_US
dc.subjectPreterm Birthen_US
dc.subjectPregnancyen_US
dc.subjectTrialen_US
dc.titleDoes emergency cerclage really works in patients with advanced cervical dilatation?en_US
dc.typeArticleen_US

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