Subsequent Pregnancy Outcomes Following Prepregnancy Cerclage in Patients with Absent Ecto-Cervix.

IF 1.4 4区医学 Q3 Medicine

Iranian Journal of Public Health Pub Date : 2024-11-01 DOI:10.18502/ijph.v53i11.16953

Jin Lu, Ling Zhou, Minqin Xu, Li Yang, Xue Li

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引用次数: 0

Abstract

Background: We aimed to determine whether the prepregnancy cerclage for women with cervical incompetence with absent ecto-cervix affects the time from surgery to conception and subsequent pregnancy outcome.

Methods: This retrospective study was carried out on patients with at least one previous history of second-trimester abortion and extremely short cervix found by gynecological examination. A total of 40 cases of McDonald's cerclage before pregnancy were performed. The time from surgery to conception and pregnancy outcome were followed up for 4 years. The main outcomes were the time from surgery to conception, and the gestational week of delivery, miscarriage rate, preterm delivery rate.

Results: Between September 2018 and December 2022, 37 women became pregnant following prepregnancy cerclage. In total, 36 babies were born to 37 mothers. The recurrence rate of second-trimester miscarriage was 8.11% (3/37) and the preterm birth rate was 29.73% (11/37). Mean time from surgery to conception was 38w (range 2w-160w).Mean gestational age at delivery was 36 weeks +4 (256 days).The live birth rate was 100%. There were no maternal complications, no intestinal and bladder injuries.

Conclusion: Cervical incompetence patients with absent ecto-cervix may benefit from prepregnancy cerclage without affecting the interpregnancy interval.

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宫外宫颈缺失患者妊娠前结扎术后的妊娠结局。

背景：我们的目的是确定宫颈功能不全且宫颈外位缺失的妇女的孕前环扎术是否影响从手术到受孕的时间和随后的妊娠结局。方法：对经妇科检查发现的至少有一次中期流产史且宫颈极短的患者进行回顾性研究。对40例孕前麦当劳环切术进行了研究。从手术到受孕时间及妊娠结局随访4年。主要观察指标为手术至受孕时间、分娩周数、流产率、早产率。结果：2018年9月至2022年12月，37名妇女在孕前环切术后怀孕。总共有37位母亲生下了36个孩子。中期流产复发率为8.11%(3/37)，早产率为29.73%（11/37）。从手术到受孕平均时间为38w（范围2w-160w）。分娩时平均胎龄36周+4（256天）。活产率为100%。无产妇并发症，无肠、膀胱损伤。结论：宫颈功能不全且宫颈缺失的患者可以在不影响解释间隔的情况下进行孕前环扎术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Iranian Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.20

自引率

7.10%

发文量

审稿时长

2 months

期刊介绍： Iranian Journal of Public Health has been continuously published since 1971, as the only Journal in all health domains, with wide distribution (including WHO in Geneva and Cairo) in two languages (English and Persian). From 2001 issue, the Journal is published only in English language. During the last 41 years more than 2000 scientific research papers, results of health activities, surveys and services, have been published in this Journal. To meet the increasing demand of respected researchers, as of January 2012, the Journal is published monthly. I wish this will assist to promote the level of global knowledge. The main topics that the Journal would welcome are: Bioethics, Disaster and Health, Entomology, Epidemiology, Health and Environment, Health Economics, Health Services, Immunology, Medical Genetics, Mental Health, Microbiology, Nutrition and Food Safety, Occupational Health, Oral Health. We would be very delighted to receive your Original papers, Review Articles, Short communications, Case reports and Scientific Letters to the Editor on the above mentioned research areas.