Daphna Amitai Komem, Raanan Meyer, Itai Yagel, Daniel Shai, Roy Mashiach, Israel Hendler, Shali Mazaki-Tovi, Yoav Yinon
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The time interval from cerclage placement to delivery was comparable in singleton and twin gestations (14.77 vs. 12.07 weeks, <i>p</i> = 0.11), as were the rates of preterm births before 28 and 32 weeks. The rate of alive newborns >24 weeks was lower in the twin group (71.9% vs. 88.3%, <i>p</i> = 0.028). Regression analysis identified that cervical dilation, but not twin gestation, was the only factor independently associated with an increased risk for birth before 32 weeks.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Ultrasound-indicated and physical examination-indicated cerclage had comparable efficacy in prolonging pregnancy in twin and singleton gestations, though live birth rates were lower in twins.</p>\n </section>\n </div>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"51 3","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jog.16263","citationCount":"0","resultStr":"{\"title\":\"Ultrasound-indicated and physical examination-indicated cervical cerclage in twin versus singleton gestations\",\"authors\":\"Daphna Amitai Komem, Raanan Meyer, Itai Yagel, Daniel Shai, Roy Mashiach, Israel Hendler, Shali Mazaki-Tovi, Yoav Yinon\",\"doi\":\"10.1111/jog.16263\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Aim</h3>\\n \\n <p>To compare the safety and efficacy of ultrasound- and physical examination-indicated cervical cerclage in twin versus singleton gestations.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A retrospective cohort study of all ultrasound-indicated (cervical length ≤ 25 mm) and physical examination-indicated cerclage cases performed over a 9-year period. 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引用次数: 0
摘要
目的比较超声和体检提示的宫颈环切术在双胎和单胎妊娠中的安全性和有效性。方法回顾性队列研究所有超声指示（宫颈长度≤25mm）和体格检查指示的环切病例超过9年的时间。主要观察指标是从环扎置入到分娩的时间间隔。结果本研究纳入单胎妊娠94例，双胎妊娠16例。单胎妊娠和双胎妊娠从结扎放置到分娩的时间间隔相当（14.77周vs 12.07周，p = 0.11）， 28周和32周前的早产率也是如此。双胞胎组24周新生儿存活率较低（71.9% vs. 88.3%, p = 0.028）。回归分析发现，宫颈扩张（而非双胎妊娠）是唯一与32周前分娩风险增加独立相关的因素。结论超声指示和体格检查指示的环切术对双胎和单胎妊娠的延长妊娠效果相当，但双胎的活产率较低。
Ultrasound-indicated and physical examination-indicated cervical cerclage in twin versus singleton gestations
Aim
To compare the safety and efficacy of ultrasound- and physical examination-indicated cervical cerclage in twin versus singleton gestations.
Methods
A retrospective cohort study of all ultrasound-indicated (cervical length ≤ 25 mm) and physical examination-indicated cerclage cases performed over a 9-year period. The primary outcome was the time interval from cerclage placement to delivery.
Results
The study cohort included 94 singleton and 16 twin pregnancies. The time interval from cerclage placement to delivery was comparable in singleton and twin gestations (14.77 vs. 12.07 weeks, p = 0.11), as were the rates of preterm births before 28 and 32 weeks. The rate of alive newborns >24 weeks was lower in the twin group (71.9% vs. 88.3%, p = 0.028). Regression analysis identified that cervical dilation, but not twin gestation, was the only factor independently associated with an increased risk for birth before 32 weeks.
Conclusion
Ultrasound-indicated and physical examination-indicated cerclage had comparable efficacy in prolonging pregnancy in twin and singleton gestations, though live birth rates were lower in twins.
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.
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