Detailed Information

Cited 0 time in webofscience Cited 0 time in scopus
Metadata Downloads

Effect of Cervical Cerclage on the Risk of Recurrent Preterm Birth after a Twin Spontaneous Preterm Birth

Authors
Kim, ShinyoungPark, Hyun SooKwon, HayanSeol, Hyun-JooBae, Jin GonAhn, Ki HoonNa, SunghunLee, Se JinLee, Mi-YoungLee, Seung MiKwak, Dong WookPark, Jung YoonPark, In YangWon, Hye-SungKim, Moon YoungKo, Hyun SunHwang, Han Sung
Issue Date
23-3월-2020
Publisher
KOREAN ACAD MEDICAL SCIENCES
Keywords
Twins; Premature Birth; Preterm Premature Rupture of the Membranes; Uterine Cervical Incompetence; Cervical Cerclage
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE, v.35, no.11
Indexed
SCIE
SCOPUS
KCI
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
Volume
35
Number
11
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/57231
DOI
10.3346/jkms.2020.35.e66
ISSN
1011-8934
Abstract
Background: This study aimed to evaluate the effect of cervical cerclage on the recurrence risk for preterm birth in singleton pregnant women after a twin spontaneous preterm birth (sPTB). Methods: This multicenter retrospective cohort study included women who had a singleton pregnancy from January 2009 to December 2018 at 10 referral hospitals and a twin sPTB before the current pregnancy. We compared the cervical lengths during pregnancy and pregnancy outcomes, according to the placement of prophylactic or emergency cerclage. We evaluated the independent risk factors for sPTB (< 37 weeks of gestation) in a subsequent singleton pregnancy. Results: For the index singleton pregnancy, preterm birth occurred in seven (11.1%) of 63 women. There was no significant difference in the cervical lengths during pregnancy in women with and without cerclage. In a multivariate logistic regression analysis, the placement of emergency cerclage was an independent risk factor for subsequent singleton preterm birth (odds ratio (OR), 93.188; 95% confidence interval [CI), 1.633-5,316.628; P= 0.027); however, the placement of prophylactic cerclage (OR, 19.264; 95% CI, 0.915 405.786; P= 0.057) was not a factor. None of the women who received prophylactic cerclage delivered before 35 weeks' gestation in the index singleton pregnancy. Conclusion: Cerclage did not lower the risk of preterm birth in a subsequent singleton pregnancy after a twin sPTB. However, emergency cerclage was an independent risk factor for preterm birth and there was no preterm birth before 35 weeks' gestation in the prophylactic cerclage group. Therefore, close monitoring of the cervical length and prophylactic cerclage might be considered in women who have experienced a twin sPTB at extreme gestation.
Files in This Item
There are no files associated with this item.
Appears in
Collections
College of Medicine > Department of Medical Science > 1. Journal Articles

qrcode

Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.

Altmetrics

Total Views & Downloads

BROWSE