Efficacy of ultrasound-indicated cerclage without prior preterm birth

IF 1.6 4区 医学 Q3 OBSTETRICS & GYNECOLOGY Journal of Obstetrics and Gynaecology Research Pub Date : 2025-01-05 DOI:10.1111/jog.16173
Naoko Suga, Akari Koizumi, Ai Takamizu, Norikazu Ueki, Koyo Yoshida, Shintaro Makino
{"title":"Efficacy of ultrasound-indicated cerclage without prior preterm birth","authors":"Naoko Suga,&nbsp;Akari Koizumi,&nbsp;Ai Takamizu,&nbsp;Norikazu Ueki,&nbsp;Koyo Yoshida,&nbsp;Shintaro Makino","doi":"10.1111/jog.16173","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim</h3>\n \n <p>Our study aimed to evaluate the effectiveness of ultrasound-indicated cerclage in singleton pregnancies with cervical shortening (&lt;25 mm), excluding those with a history of preterm birth (PTB) and infection/inflammation.</p>\n </section>\n \n <section>\n \n <h3> Materials and methods</h3>\n \n <p>Among the 1556 women admitted for a cervix measuring &lt;25 mm via transvaginal ultrasound at Juntendo University Urayasu Hospital between January 2001 and December 2023, our study focused on 47 singleton patients with no prior history of PTB. After receiving information on both risks and benefits, 25 patients opted for ultrasound-indicated cerclage (cerclage group), while 22 chose expectant management (expectant management group). All participants underwent screening for infection/inflammation of the lower genital tract. The primary outcome, the rate of PTB (&lt;37 weeks', &lt;34 weeks', and &lt;28 weeks' gestation), was assessed in both groups.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The cerclage group demonstrated a significantly lower rate of PTB before 37 and 34 weeks' gestation. Although there was no statistically significant difference, the cerclage group exhibited a delay of 3.6 weeks in the average week of gestation compared to the expectant management group. Notably, the hospitalization period in the cerclage group was significantly reduced by 42 days.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Performing an ultrasound-indicated cerclage in cases of a short cervical length &lt;25 mm without a prior history of PTB and infection/inflammation reduces the rates of PTB (&lt;37 and &lt;34 weeks' gestation) and hospitalization period.</p>\n </section>\n </div>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"51 1","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Obstetrics and Gynaecology Research","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jog.16173","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Aim

Our study aimed to evaluate the effectiveness of ultrasound-indicated cerclage in singleton pregnancies with cervical shortening (<25 mm), excluding those with a history of preterm birth (PTB) and infection/inflammation.

Materials and methods

Among the 1556 women admitted for a cervix measuring <25 mm via transvaginal ultrasound at Juntendo University Urayasu Hospital between January 2001 and December 2023, our study focused on 47 singleton patients with no prior history of PTB. After receiving information on both risks and benefits, 25 patients opted for ultrasound-indicated cerclage (cerclage group), while 22 chose expectant management (expectant management group). All participants underwent screening for infection/inflammation of the lower genital tract. The primary outcome, the rate of PTB (<37 weeks', <34 weeks', and <28 weeks' gestation), was assessed in both groups.

Results

The cerclage group demonstrated a significantly lower rate of PTB before 37 and 34 weeks' gestation. Although there was no statistically significant difference, the cerclage group exhibited a delay of 3.6 weeks in the average week of gestation compared to the expectant management group. Notably, the hospitalization period in the cerclage group was significantly reduced by 42 days.

Conclusion

Performing an ultrasound-indicated cerclage in cases of a short cervical length <25 mm without a prior history of PTB and infection/inflammation reduces the rates of PTB (<37 and <34 weeks' gestation) and hospitalization period.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
无早产的超声指示环切术的疗效。
目的:我们的研究旨在评估超声提示环切术在单胎妊娠宫颈缩短中的有效性。材料和方法:在1556名接受宫颈测量的妇女中,结果:环切术组在妊娠37周和34周前的PTB发病率显著降低。虽然没有统计学上的显著差异,但与准管理组相比,结扎组的平均妊娠周延迟了3.6周。值得注意的是,结扎组的住院时间明显减少了42天。结论:对宫颈长度较短的患者行超声指示的环切术
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
3.10
自引率
0.00%
发文量
376
审稿时长
3-6 weeks
期刊介绍: The Journal of Obstetrics and Gynaecology Research is the official Journal of the Asia and Oceania Federation of Obstetrics and Gynecology and of the Japan Society of Obstetrics and Gynecology, and aims to provide a medium for the publication of articles in the fields of obstetrics and gynecology. The Journal publishes original research articles, case reports, review articles and letters to the editor. The Journal will give publication priority to original research articles over case reports. Accepted papers become the exclusive licence of the Journal. Manuscripts are peer reviewed by at least two referees and/or Associate Editors expert in the field of the submitted paper.
期刊最新文献
Feasibility of anticancer treatment using scalp cooling for patients with gynecological cancer in Japan: A case series study Cerebral venous thrombosis caused by short-term administration of ethinylestradiol and cyproterone acetate tablets in adolescents: A case report Letter to “Prediction of deep vein thrombosis in pregnant women by platelet indices: A retrospective case–control study” Relationship between the pelvic organ prolapse quantification system and vaginal noise: A cross-sectional study Letter to “Will the day come when opinion and letter pieces disappear from the medical journals?”
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1