06 June 2019 : Clinical Research
Perinatal Outcomes After Emergency Cervical Cerclage for Cervical Insufficiency with Prolapsed Membranes
Qi Pang1ABC, Xiaoning Jia1CDEF, Lei Chen1ACF*DOI: 10.12659/MSM.916480
Med Sci Monit 2019; 25:4202-4206
Abstract
BACKGROUND: To study the clinical effective of emergency cervical cerclage (ECC) in pregnant women who have cervical insufficiency with prolapsed membranes.
MATERIAL AND METHODS: This study was devised as a retrospective cohort in a single medical center, in which we collected clinical data from patient records. Inclusion criteria were: physical examination indicated ECC was performed at 15 to 25 gestational weeks at the Sixth Medical Center of the PLA General Hospital, and singleton pregnancy. The collected clinical data included: duration of pregnancy at delivery, interval between ECC and delivery, neonatal weight, neonatal mortality, neonatal morbidity, and Neonatal Intensive Care Unit (NICU) admission.
RESULTS: We included 50 women with singleton pregnancies. No surgical complications occurred in any patients. The gestational age at cerclage was 21.3±2.2 weeks. No patients had membrane damage due to surgery. No surgical complications were reported. Five (10%) patients underwent chorioamnionitis. The time interval between ECC and delivery was 11.2±7.1 weeks. The mean gestational age at delivery was 34.1 weeks. The rate of vaginal delivery was 96%. Ten patients had pregnancy lasting longer than 36 weeks. The mean neonate delivery weight was 2510.7 g. Twenty neonates were admitted to the Neonatal Intensive Care Unit (NICU), and the mean NICU stay was 21 days.
CONCLUSIONS: ECC has good perinatal results. Our results provide clinical evidence for the efficacy and risks of ECC.
Keywords: Cerclage, Cervical, perinatal mortality, Uterine Cervical Incompetence, Cervix Uteri, Emergencies, Fetal Membranes, Premature Rupture, Gestational Age, Infant, Newborn, perinatal death, Pregnancy, Pregnancy Outcome, Premature Birth, Sutures, Uterine Prolapse
Editorial
01 June 2024 : Editorial
Editorial: Concerns as Highly Pathogenic Avian Influenza (HPAI) Virus of the H5N1 Subtype is Identified in Dairy Cows and Other MammalsDOI: 10.12659/MSM.945315
Med Sci Monit 2024; 30:e945315
In Press
Review article
The Potential of Artificial Intelligence in Prosthodontics: A Comprehensive ReviewMed Sci Monit In Press; DOI: 10.12659/MSM.944310
Review article
Use of Antimicrobial Silver Coatings on Fixed Orthodontic Appliances, Including Archwires, Brackets, and Mi...Med Sci Monit In Press; DOI: 10.12659/MSM.944255
Clinical Research
Risk Factors for Postpartum Hemorrhage in Severe Pre-Eclampsia: A Retrospective Single-Centre Study of 1953...Med Sci Monit In Press; DOI: 10.12659/MSM.943772
Review article
The Role of Momentary Dissociation in the Sensory Cortex: A Neurophysiological Review and its Implications ...Med Sci Monit In Press; DOI: 10.12659/MSM.944209
Most Viewed Current Articles
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
17 Jan 2024 : Review article
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
16 May 2023 : Clinical Research
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952