Emergency cerclage in twins during mid gestation may have favorable outcomes: Results of a retrospective cohort

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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.accessioned2019-06-26T11:23:11Z
dc.date.available2019-06-26T11:23:11Z
dc.date.issued2018
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Anabilim Dalıen_US
dc.description.abstractPurpose. - Cervical cerclage treatment for cervical changes at mid trimester is a very controversial topic in twins. The aim of the study was to present our maternal and fetal outcomes of mid-trimester cervical cerclage in twin pregnancies. Basic procedures. - This study was performed using data extracted from the medical files of the twin pregnancies whom performed emergency cervical cerclage between January 2012 and March 2018 at Trakya University, Facuty of Medicine, Department of Perinatology. Main findings. - Mean (min.-max.) gestational age at delivery was [27.3 (21-34) weeks]. The median time between cervical cerclage and delivery was 6.4 weeks, while the maximum prolongation of the pregnancy was 11 weeks. The median prolongation period of pregnancy was 4.1 weeks in patients with bulging membranes, but 10 weeks in patients with cervical effacement and cervical shortening. Eight infants died at the neonatal period. Two patients (20%) developed late abortions at 21 and 22 weeks of gestation, and 2 women (20%) delivered extremely premature neonates at the 24th weeks. Overall neonatal mortality rate was 40% (8/20 neonates). Twelve out of twenty were born alive (60%). Principal conclusions. - Despite the lack of randomized controlled trials, it seems reasonable to offer emergency cervical cerclage to twin pregnancies with cervical shortening (<15 mm). For the twin pregnancies with advanced cervical dilatation and protruding membranes, emergency cervical cerclage should be an option only for carefully selected patients after informing about the complications and low success rate. (C) 2018 Elsevier Masson SAS. All rights reserved.en_US
dc.identifier.citationCilingir, I. U., Sayin, C., Sutcu, H., İnan, C., Erzincan, S., Yener, C., & Varol, F. (2018). Emergency cerclage in twins during mid gestation may have favorable outcomes: Results of a retrospective cohort. Journal of gynecology obstetrics and human reproduction, 47(9), 451-453.en_US
dc.identifier.doi10.1016/j.jogoh.2018.08.010en_US
dc.identifier.endpage453en_US
dc.identifier.issue9en_US
dc.identifier.pmid30145272en_US
dc.identifier.scopus2-s2.0-85052339494en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage451en_US
dc.identifier.urihttps://doi.org/10.1016/j.jogoh.2018.08.010
dc.identifier.urihttps://hdl.handle.net/20.500.14551/4247
dc.identifier.volume47en_US
dc.identifier.wosWOS:000467001800007en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Massonen_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.snmz20240608_ID_Qen_US
dc.subjectEmergency Cerclageen_US
dc.subjectTwin Pregnancyen_US
dc.subjectShort Cervixen_US
dc.subjectProlapsed Membranesen_US
dc.subjectPreterm Birthen_US
dc.subjectShort Cervixen_US
dc.titleEmergency cerclage in twins during mid gestation may have favorable outcomes: Results of a retrospective cohorten_US
dc.typeArticleen_US

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