Obstetric Cerclage.

IF 5.1 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Obstetrics and gynecology Pub Date : 2026-09-01 DOI:10.1097/AOG.0000000000006379

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引用次数: 0

Abstract

Purpose: The purpose of this document is to provide evidence-based indications, surgical techniques, alternatives, and management strategies for cervical cerclage in pregnancy.

Target population: Patients with an indication for cervical cerclage, including cervical insufficiency, prior obstetric history, and cervical shortening.

Methods: This guideline was developed using an a priori protocol in conjunction with a writing team consisting of three maternal-fetal medicine subspecialists appointed by the American College of Obstetricians & Gynecologists' (ACOG's) Committee on Clinical Practice Guidelines-Obstetrics. ACOG medical librarians completed a comprehensive literature search for primary literature within Cochrane Library, Cochrane Collaboration Registry of Controlled Trials, EMBASE, PubMed, and MEDLINE. Studies that moved forward to the full-text screening stage were assessed by the writing team based on standardized inclusion and exclusion criteria. Included studies underwent quality assessment, and a modified GRADE (Grading of Recommendations Assessment, Development and Evaluation) evidence-to-decision framework was applied to interpret and translate the evidence into recommendation statements.

Recommendations: This Clinical Practice Guideline provides recommendations for cervical cerclage indications, surgical approach, and management, as well as alternative therapies. Recommendations are classified by strength and evidence quality.

查看原文本刊更多论文

产科环扎术。

目的：本文件的目的是提供基于证据的适应症，手术技术，替代方案和管理策略的宫颈环扎术在怀孕。目标人群：有宫颈环切指征的患者，包括宫颈功能不全、既往产科史和宫颈缩短。方法：本指南是由美国妇产科医师学会（ACOG）临床实践指南-产科委员会任命的三名母胎医学专科医生组成的写作小组根据先验方案制定的。ACOG医学图书馆员在Cochrane图书馆、Cochrane对照试验合作注册表、EMBASE、PubMed和MEDLINE中完成了对主要文献的全面文献检索。进入全文筛选阶段的研究由撰写团队根据标准化的纳入和排除标准进行评估。纳入的研究进行了质量评估，并采用改良的GRADE（建议评估、发展和评价分级）证据到决策框架来解释证据并将其转化为建议声明。建议：本临床实践指南提供了关于宫颈环扎适应症、手术入路、管理以及替代疗法的建议。建议根据强度和证据质量进行分类。

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

Obstetrics and gynecology 医学-妇产科学

CiteScore

11.10

自引率

4.20%

发文量

867

审稿时长

1 months

期刊介绍： "Obstetrics & Gynecology," affectionately known as "The Green Journal," is the official publication of the American College of Obstetricians and Gynecologists (ACOG). Since its inception in 1953, the journal has been dedicated to advancing the clinical practice of obstetrics and gynecology, as well as related fields. The journal's mission is to promote excellence in these areas by publishing a diverse range of articles that cover translational and clinical topics. "Obstetrics & Gynecology" provides a platform for the dissemination of evidence-based research, clinical guidelines, and expert opinions that are essential for the continuous improvement of women's health care. The journal's content is designed to inform and educate obstetricians, gynecologists, and other healthcare professionals, ensuring that they stay abreast of the latest developments and best practices in their field.