Pregnancy outcomes of twin pregnancies with cervical insufficiency undergoing cervical cerclage.

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  • Additional Information
    • Source:
      Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101563288 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-2322 (Electronic) Linking ISSN: 20452322 NLM ISO Abbreviation: Sci Rep Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : Nature Publishing Group, copyright 2011-
    • Subject Terms:
      Cerclage, Cervical*/methods ; Pregnancy, Twin* ; Uterine Cervical Incompetence*/surgery ; Uterine Cervical Incompetence*/diagnostic imaging ; Pregnancy Outcome*; Humans ; Female ; Pregnancy ; Adult ; Retrospective Studies ; Cervix Uteri/surgery ; Cervix Uteri/diagnostic imaging ; Gestational Age
    • Abstract:
      Cervical cerclage is an established procedure for treating cervical insufficiency; however, its efficacy in twin pregnancies remains uncertain. This study aimed to evaluate the effectiveness of transvaginal cervical cerclage in twin pregnancies complicated by cervical insufficiency. Data were retrospectively collected from 155 women with twin pregnancies diagnosed with cervical insufficiency. Participants were divided into two groups: the cerclage group (n = 131) and the non-cerclage group (n = 24). The cerclage group was further subdivided into emergency cerclage and ultrasound-indicated cerclage subgroups for detailed analysis. The duration of gestation was found to be longer in the cerclage group compared to the non-cerclage group. Procedures performed included both emergency and ultrasound-indicated cerclage. No significant difference in gestational outcomes was observed between the ultrasound-indicated cerclage subgroup and the non-cerclage group, regardless of cervical length (< 15 mm, < 25 mm, or 15-25 mm). In contrast, a significant improvement in gestational outcomes was noted in the emergency cerclage subgroup compared to the non-cerclage group, irrespective of cervical dilation (> 1 cm or ≤ 1 cm). Overall, cervical cerclage appears to improve pregnancy outcomes in twin pregnancies under specific conditions. While ultrasonographically indicated cerclage did not significantly enhance pregnancy outcomes, emergency cerclage may be effective in improving perinatal prognosis.
      (© 2024. The Author(s).)
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    • Grant Information:
      2020SK2072 Key Research and Development Program of Hunan Province of China
    • Contributed Indexing:
      Keywords: Cervical cerclage; Cervical insufficiency; Twin pregnancy; Ultrasound
    • Publication Date:
      Date Created: 20241109 Date Completed: 20241109 Latest Revision: 20241116
    • Publication Date:
      20241116
    • Accession Number:
      PMC11550799
    • Accession Number:
      10.1038/s41598-024-78662-2
    • Accession Number:
      39521822