keyword
https://read.qxmd.com/read/36592821/the-effect-of-cervical-cerclage-on-the-labor-curve
#21
JOURNAL ARTICLE
Kazuma Onishi, Jim C Huang, Tetsuya Kawakita
BACKGROUND: Cervical cerclage is an effective intervention to prevent preterm birth among individuals with a history of cervical insufficiency, individuals with a short cervix and history of preterm birth, or individuals with second-trimester painless dilation. While cerclage reduces the mechanical stress on the cervix by reinforcing it with sutures, cerclage could also cause scarring of the cervix, which may affect the progress of labor. OBJECTIVE: To compare the labor curves between individuals with cerclage and those without cerclage...
December 30, 2022: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/36168933/cervical-pessary-and-cerclage-placement-for-preterm-birth-prevention-and-cervicovaginal-microbiome-changes
#22
MULTICENTER STUDY
Mireia Vargas, Francisca Yañez, Andrea Elias, Andrea Bernabeu, Maria Goya, Zixuan Xie, Alba Farrás, Olga Sánchez, Zaida Soler, Carlos Blasquez, Leonor Valle, Anna Olivella, Begoña Muñoz, Maia Brik, Elena Carreras, Chaysavanh Manichanh
INTRODUCTION: Our objective was to compare the vaginal microbiome in low-risk and high-risk pregnant women and to explore a potential association between vaginal microbiome and preterm birth. MATERIAL AND METHODS: A pilot, consecutive, longitudinal, multicenter study was conducted in pregnant women at 18-22 weeks of gestation. Participants were assigned to one of three groups: control (normal cervix), pessary (cervical length ≤25 mm) and cerclage (cervical length ≤25 mm or history of preterm birth)...
December 2022: Acta Obstetricia et Gynecologica Scandinavica
https://read.qxmd.com/read/36110090/cerclage-in-surgically-shortened-uterine-cervix-and-pregnancy-outcome-a-retrospective-comparison-between-the-abdominal-and-vaginal-procedures
#23
JOURNAL ARTICLE
Keiko Akeno, Masanao Ohashi, Seishi Furukawa, Hiroshi Sameshima
BACKGROUND: Cerclage for uterine cervical incompetence can be performed by the transabdominal or transvaginal approach. Transabdominal cerclage (TAC) is indicated for women with a short cervix or a cervical laceration who are inapplicable to transvaginal cerclage (TVC). The larger the volume of tissue removed in cervical conization, the greater the rate of miscarriage or preterm delivery in the subsequent pregnancy. AIMS: The aim of this study was to compare TAC and TVC in post-cervical conization pregnancies...
September 15, 2022: Journal of Obstetrics and Gynaecology Research
https://read.qxmd.com/read/36070802/cervical-cerclage-vs-pessary-in-women-with-a-sonographic-short-cervix
#24
JOURNAL ARTICLE
Vasilios Pergialiotis, Alexandros Psarris, Panagiotis Antsaklis, Marianna Theodora, Aggeliki Papapanagiotou, Alexandros Rodolakis, Georgios Daskalakis
PURPOSE: In the present study we sought to compare the efficacy of cervical pessary to that of cerclage in terms of reducing preterm birth rates among women with a short (<25 mm) and ultra-short (<15 and <10 mm) cervix during the ultrasonographic second trimester assessment. METHOD: We retrospectively searched the hospital records for singleton pregnancies diagnosed with cervical insufficiency during the second trimester of pregnancy. The McDonald cerclage was used in all women with the use of a 5mm Mersilene tape...
September 7, 2022: Ultraschall in der Medizin
https://read.qxmd.com/read/35932876/the-introduction-of-a-universal-transvaginal-cervical-length-screening-program-is-associated-with-a-reduced-preterm-birth-rate
#25
MULTICENTER STUDY
Aude Figarella, Cécile Chau, Anderson Loundou, Claude d'Ercole, Florence Bretelle
BACKGROUND: Midtrimester sonographic short cervix is a good predictor of preterm birth in singleton pregnancies. OBJECTIVE: This study aimed to assess the impact of implementing a universal transvaginal cervical length screening program on preterm birth rate. STUDY DESIGN: This study consisted of 2 parts: a before-and-after multicenter study and a study on the ECHOCOL ("echo"="ultrasound" and "col"="cervix" in French) prospective cohort. We compared the rate of preterm birth before and after the introduction of universal cervical length screening at the time of midtrimester anatomy ultrasound...
February 2023: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/35714654/incidentally-found-midtrimester-shortened-cervical-length-practice-patterns-among-american-maternal-fetal-medicine-specialists
#26
JOURNAL ARTICLE
Farrah N Hussain, Zainab Al-Ibraheemi, Elianna Kaplowitz, Bijal Parikh, Kristina Martimucci Feldman, Melissa Chu Lam, Lois Brustman, Dawnette Lewis
OBJECTIVE:  The management of incidentally found short cervical length (CL) without prior spontaneous preterm birth (PTB) can vary. While most agree on starting vaginal progesterone, management after CL shortens <10 mm varies. The purpose of this study was to elucidate current practice patterns amongst maternal-fetal medicine (MFM) specialists. STUDY DESIGN:  We conducted an online survey of MFM attending physicians and fellows in the United States from May 2019 to April 2020...
December 5, 2022: American Journal of Perinatology
https://read.qxmd.com/read/35653798/cervical-cerclage-for-prevention-of-preterm-birth-the-results-from-a-20-year-cohort
#27
JOURNAL ARTICLE
Maria W E Frenken, Simone M T A Goossens, Minke C R Janssen, Leon G M Mulders, Judith O E H van Laar
Cerclages can be used to prevent preterm birth, although their effectiveness and safety is disputed. We aimed to describe obstetric outcomes after cerclage procedures. We included 156 singleton pregnancies and six multiple pregnancies. In singleton pregnancies with history-indicated, short cervix-indicated and emergency cerclages, respectively 84.6, 76.5 and 43.8% resulted in late preterm or term deliveries. In singletons, the following complications were reported: excessive bleeding in one emergency cerclage procedure and three re-cerclage procedures in the history-indicated cerclage group...
June 2, 2022: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://read.qxmd.com/read/35440280/cerclage-versus-vaginal-progesterone-in-low-risk-pregnant-women-with-a-short-cervix
#28
JOURNAL ARTICLE
Olivet Martinez, Hannah Kang Moran, Sharon Fitzgerald Wolff, Charles Gibbs, Gene Lee, Kelly Gorman, Angela Martin
OBJECTIVE: To compare vaginal progesterone to cerclage in preventing preterm birth and adverse perinatal outcomes in women with a singleton gestation, incidentally found sonographic cervical length of <15 mm, and no history of preterm birth. STUDY DESIGN: A retrospective cohort study was conducted on 68 women who delivered at the University of Kansas Health System with a singleton gestation found to have a cervical length <15 mm on transvaginal ultrasound and no history of preterm birth...
December 2022: Journal of Maternal-fetal & Neonatal Medicine
https://read.qxmd.com/read/35361021/a-retrospective-study-analyzing-indications-and-outcomes-of-mid-trimester-emergency-cervical-cerclage-in-a-tertiary-care-perinatal-centre-over-half-a-decade
#29
JOURNAL ARTICLE
Pushplata Kumari, Manish Kumar, Liji Sarah David, Reeta Vijayaselvi, Bijesh Yadav, Manisha Madhai Beck
We studied the indications, success rate, perinatal outcomes and maternal complications following mid-trimester emergency cervical cerclage. All women undergoing mid-trimester emergency cerclage at our centre during 2014-2019 were included in this retrospective study.There were 46 women in our cohort. Mean cervical length was 1.5 cm (SD ± 0.7), and 52.1% of them had bulging membranes. The mean gestational age at cerclage was 23.35 weeks (SD ± 3.341). Three were loss to follow up.Out of 43 pregnancies (23 singletons and 20 twins) analyzed, 37/43, 86...
July 2022: Tropical Doctor
https://read.qxmd.com/read/35123930/arabin-pessary-to-prevent-adverse-perinatal-outcomes-in-twin-pregnancies-with-a-short-cervix-a-multicenter-randomized-controlled-trial-pessarone
#30
JOURNAL ARTICLE
Marion Groussolles, Norbert Winer, Loïc Sentilhes, Florence Biquart, Mona Massoud, Alexandre J Vivanti, Hanane Bouchghoul, Patrick Rozenberg, Pascale Olivier, Raoul Desbriere, Celine Chauleur, Franck Perrotin, Frederic Coatleven, Florent Fuchs, Florence Bretelle, Vassilis Tsatsaris, Laurent J Salomon, Nicolas Sananes, Gilles Kayem, Veronique Houflin-Debarge, Thomas Schmitz, Guillaume Benoist, Catherine Arnaud, Virginie Ehlinger, Christophe Vayssière
BACKGROUND: The number of twin pregnancies continues to increase worldwide as both the number of pregnancies obtained by medically assisted reproduction and age at first pregnancy keep rising. Preterm delivery is the major complication associated with twin pregnancies. The effectiveness of preventive treatments such as progesterone or cervical cerclage for women with a short cervix is doubtful in twin pregnancies. The effectivity of cervical pessaries in preventing preterm birth and its associated morbidity and mortality is also controversial...
February 3, 2022: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/35106799/relationship-of-amniotic-fluid-sludge-and-short-cervix-with-a-high-rate-of-preterm-birth-in-women-after-cervical-cerclage
#31
JOURNAL ARTICLE
Yingmin Huang, Xiaowen Liang, Jianyi Liao, Yingtao Li, Zhiyi Chen
OBJECTIVE: We aims to determine the relationship of amniotic fluid sludge (AFS) and/or short cervical length (CL, ≤25 mm) with a high rate of preterm birth in women after cervical cerclage. METHODS: A retrospective cohort study was conducted among singleton pregnancies after cervical cerclage between January 2018 and December 2021. A total of 296 patients who underwent transvaginal ultrasound to evaluate CL and the presence of AFS within 2 weeks after cerclage were included...
November 2022: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/35039883/timing-of-antenatal-corticosteroids-in-relation-to-clinical-indication
#32
JOURNAL ARTICLE
Jessica Smith, Kellie E Murphy, Sarah D McDonald, Elizabeth Asztalos, Amir Aviram, Stefania Ronzoni, Elad Mei-Dan, Arthur Zaltz, Jon Barrett, Nir Melamed
PURPOSE: This study aimed at determining the proportion of women who receive antenatal corticosteroids (ACS) within the optimal time window before birth based on the indication for ACS, and to explore in more detail indications that are associated with suboptimal timing. METHODS: A retrospective cohort study of all women who received ACS in a single tertiary center between 2014 and 2017. The primary outcome was an ACS-to-birth interval ≤ 7 days...
October 2022: Archives of Gynecology and Obstetrics
https://read.qxmd.com/read/34806250/a-modified-transabdominal-cervicoisthmic-cerclage-with-the-monofilament-thread-its-efficacy-and-safety-for-women-with-extremely-short-cervix-due-to-cervical-conization
#33
JOURNAL ARTICLE
Rei Sunami, So Owada, Genki Yasuda, Mayuko Kasai, Yuzo Uchida, Hironori Takahashi, Shigeki Matsubara
AIM: The study aimed to examine the usefulness of modified transabdominal cervicoisthmic cerclage (TAC) using monofilament thread for the prevention of preterm delivery in women with an extremely short cervix after deep conization. METHODS: We devised a monofilament thread for picking up the seromuscular layer of the site that is slightly cephalad to the internal ostium to prevent injury of the vessels around the uterine cervix. From 2017 to 2020, we performed this modified operation in eight women (nine pregnancies) at 12-16 weeks of gestation with a history of deep cervical conization...
February 2022: Journal of Obstetrics and Gynaecology Research
https://read.qxmd.com/read/34560330/obgyn-practice-patterns-regarding-combination-therapy-for-prevention-of-preterm-birth-a-national-survey
#34
JOURNAL ARTICLE
Whitney A Booker, Eda G Reed, Michael L Power, Jay Schulkin, Cynthia Gyamfi-Bannerman, Tracy Manuck, Vincenzo Berghella, Joy Vink
OBJECTIVE: Our objective was to examine if US obstetrician-gynecologists (OBGYNs) practice outside of evidenced-based guidelines and use a combination of interventions to prevent spontaneous preterm birth (sPTB). STUDY DESIGN: An electronic survey was distributed to members of the Pregnancy-Related Care Research Network (PRCRN), and also to members of the Society of Maternal-Fetal Medicine (SMFM). The survey consisted of questions regarding physician demographics, and the use of interventions to prevent sPTB in women with 1) a prior sPTB, 2) an incidental short cervix (no prior sPTB), and 3) a history of cervical insufficiency...
November 2021: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/34523018/the-risk-of-preterm-birth-in-women-with-history-of-short-cervix-delivering-at-term-in-the-previous-pregnancy-a-retrospective-cohort-study
#35
JOURNAL ARTICLE
Jeong Ha Wie, Ji Sun Lee, Hye Sung Hwang, Ji Young Kwon, Hyun Sun Ko, In Yang Park
PURPOSE: To investigate whether women with a short cervical length (CL), but delivered at term in the first pregnancy might have increased risks of having short cervix and spontaneous preterm birth (sPTB) in the subsequent pregnancies. METHODS: This is a retrospective cohort study including singleton gestations who were delivered between Jan 2011 and Dec 2018, who had had one childbirth experience and who had transvaginal sonographic CL assessment performed at mid-trimester (18 ~ 30 weeks) in both pregnancy...
September 14, 2021: Archives of Gynecology and Obstetrics
https://read.qxmd.com/read/34520055/figo-good-practice-recommendations-on-cervical-cerclage-for-prevention-of-preterm-birth
#36
JOURNAL ARTICLE
Andrew Shennan, Lisa Story, Bo Jacobsson, William A Grobman
Cervical cerclage is an intervention which when given to the right women can prevent preterm birth and second-trimester fetal losses. A history-indicated cerclage should be offered to women who have had three or more preterm deliveries and/or mid-trimester losses. An ultrasound-indicated cerclage should be offered to women with a cervical length <25 mm if they have had one or more spontaneous preterm birth and/or mid-trimester loss. In high-risk women who have not had a previous mid-trimester loss or preterm birth, an ultrasound-indicated cerclage does not have a clear benefit in women with a short cervix...
October 2021: International Journal of Gynaecology and Obstetrics
https://read.qxmd.com/read/34385081/-does-the-use-of-gestation-specific-centiles-for-cervical-length-change-the-management-of-pregnancies-at-risk-of-recurrent-spontaneous-preterm-birth
#37
JOURNAL ARTICLE
Pauric O'Reilly, Alex Dakin, Niamh Keating, Larissa Luethe, Siobhan Corcoran
INTRODUCTION: Preterm birth is the leading cause of neonatal morbidity and mortality. Spontaneous Preterm Birth (sPTB) has many and varied causes but is known to be strongly associated with a short or shortening cervix in the midtrimester of pregnancy. The strongest risk factor for sPTB is a previous sPTB. In women with a history of sPTB, we can offer surveillance and treatments which have been proven to reduce the risk of sPTB, such as cervical cerclage and vaginal progesterone supplementation...
September 2021: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/34271252/cerclage-in-singleton-gestations-with-an-extremely-short-cervix-%C3%A2-10-mm-and-no-history-of-spontaneous-preterm-birth
#38
MULTICENTER STUDY
Moti Gulersen, Eran Bornstein, Alixandra Domney, Matthew J Blitz, Timothy J Rafael, Xueying Li, David Krantz, Burton Rochelson
BACKGROUND: Data regarding the efficacy of a cervical cerclage for preterm birth prevention in patients with a short cervix and no history of spontaneous preterm birth are limited and inconclusive. OBJECTIVE: This study aimed to determine whether cervical cerclage is associated with an increased time interval to delivery in asymptomatic patients with singleton pregnancies with an extremely short cervical length (≤10 mm) and no history of spontaneous preterm birth...
September 2021: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/34172552/effectiveness-of-combined-vaginal-progesterone-and-cervical-cerclage-in-preventing-preterm-birth-a-systematic-review-and-meta-analysis-protocol
#39
JOURNAL ARTICLE
Rosanna C Diacci, Ashad Issah, Kimberley P Williams, Liam McAuliffe, Anne-Marie Aubin, Jack E McAuliffe, Jason Phung, Carol A Wang, Craig E Pennell
INTRODUCTION: Preterm birth (PTB) is the leading cause of death in children under 5 years. Preventive therapies targeted towards women with risk factors such as a prior PTB or a short cervix reduce the rate of PTB. Cervical cerclage, vaginal progesterone and a combination of the two have been used with no consensus as to whether combined treatment is more effective than any single treatment alone. The objective of this review is to determine the efficacy of combined treatment compared with cerclage alone and combined treatment compared with progesterone alone...
June 25, 2021: BMJ Open
https://read.qxmd.com/read/34129709/interventions-to-prevent-preterm-delivery-in-twin-twin-transfusion-with-short-cervix
#40
JOURNAL ARTICLE
C Buskmiller, E P Bergh, C Brock, J Miller, A Baschat, H Galan, N Behrendt, M Habli, J L Piero, S Snowise, J Fisher, C Macpherson, E Thom, C Pedroza, A Johnson, S Blackwell, R Papanna
OBJECTIVE: Pre-operative short cervical length (CL) remains a major risk factor for preterm birth after laser surgery for twin-twin transfusion syndrome (TTTS). Interventions to prolong pregnancy remain elusive. The objective of this study is to compare secondary preventive methods used in the setting of short CL at the time of laser surgery by five North American Fetal Treatment Network (NAFTNet) centers. METHODS: A secondary analysis of data collected prospectively at five NAFTNet centers was conducted from January 2011 to March 2020...
June 15, 2021: Ultrasound in Obstetrics & Gynecology
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