FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2085020070> ?p ?o ?g. }

• W2085020070 endingPage "S25" @default.
• W2085020070 startingPage "S25" @default.
• W2085020070 abstract "ObjectiveTo compare pregnancy outcomes in women with a dilated cervix in the second trimester treated with a McDonald or a Shirodkar cerclage.Study designMulticentered historical cohort study conducted by the Global Network for Perinatal and Reproductive Health (www.gnprh.org). Women between 140/7-256/7 weeks gestation with a cervical dilation ≥1 cm were identified at 10 centers between 1998-2005. Patients with other types of cerclages and multiple gestations were excluded. A secondary analysis was performed to compare outcomes between McDonald and Shirodkar cerclage methods. χ2, Student's T test and Mann-Whitney were used to compare variables as appropriate. Multivariate regression was used to assess the likelihood of neonatal outcomes while controlling for confounders.ResultsA total of 148 women were identified. 134 women had a McDonald and 14 had a Shirodkar. Cervical dilation at presentation did not differ between the McDonald and Shirodkar groups (median 2.0 vs 1.0 cm p=0.11). Gestational age (GA) at presentation was greater in the McDonald group (median 19.2 vs 17.2 weeks p=0.75). Maternal age (mean 30.2 +/− SD 6.3 vs 29.6 +/− SD 5.4) and tocolytic use was not different between the two groups. In an analysis adjusted for cervical dilation, race, antenatal corticosteroid use and GA at presentation, the Shirodkar group had an OR 0.3 (95%CI 0.1, 1.7) for PTB ≤28 weeks; OR 0.3 (95%CI 0.1, 1.3) for PTB ≤32 weeks. The Shirodkar group had an OR 2.9 (95%CI 0.4, 19.5) for neonatal survival.ConclusionIn this study, use of a McDonald vs. Shirodkar cerclage did not influence preterm birth ≤28 weeks, ≤32 weeks or neonatal survival. However, few women received a Shirodkar. A RCT of operative technique is urgently needed. ObjectiveTo compare pregnancy outcomes in women with a dilated cervix in the second trimester treated with a McDonald or a Shirodkar cerclage. To compare pregnancy outcomes in women with a dilated cervix in the second trimester treated with a McDonald or a Shirodkar cerclage. Study designMulticentered historical cohort study conducted by the Global Network for Perinatal and Reproductive Health (www.gnprh.org). Women between 140/7-256/7 weeks gestation with a cervical dilation ≥1 cm were identified at 10 centers between 1998-2005. Patients with other types of cerclages and multiple gestations were excluded. A secondary analysis was performed to compare outcomes between McDonald and Shirodkar cerclage methods. χ2, Student's T test and Mann-Whitney were used to compare variables as appropriate. Multivariate regression was used to assess the likelihood of neonatal outcomes while controlling for confounders. Multicentered historical cohort study conducted by the Global Network for Perinatal and Reproductive Health (www.gnprh.org). Women between 140/7-256/7 weeks gestation with a cervical dilation ≥1 cm were identified at 10 centers between 1998-2005. Patients with other types of cerclages and multiple gestations were excluded. A secondary analysis was performed to compare outcomes between McDonald and Shirodkar cerclage methods. χ2, Student's T test and Mann-Whitney were used to compare variables as appropriate. Multivariate regression was used to assess the likelihood of neonatal outcomes while controlling for confounders. ResultsA total of 148 women were identified. 134 women had a McDonald and 14 had a Shirodkar. Cervical dilation at presentation did not differ between the McDonald and Shirodkar groups (median 2.0 vs 1.0 cm p=0.11). Gestational age (GA) at presentation was greater in the McDonald group (median 19.2 vs 17.2 weeks p=0.75). Maternal age (mean 30.2 +/− SD 6.3 vs 29.6 +/− SD 5.4) and tocolytic use was not different between the two groups. In an analysis adjusted for cervical dilation, race, antenatal corticosteroid use and GA at presentation, the Shirodkar group had an OR 0.3 (95%CI 0.1, 1.7) for PTB ≤28 weeks; OR 0.3 (95%CI 0.1, 1.3) for PTB ≤32 weeks. The Shirodkar group had an OR 2.9 (95%CI 0.4, 19.5) for neonatal survival. A total of 148 women were identified. 134 women had a McDonald and 14 had a Shirodkar. Cervical dilation at presentation did not differ between the McDonald and Shirodkar groups (median 2.0 vs 1.0 cm p=0.11). Gestational age (GA) at presentation was greater in the McDonald group (median 19.2 vs 17.2 weeks p=0.75). Maternal age (mean 30.2 +/− SD 6.3 vs 29.6 +/− SD 5.4) and tocolytic use was not different between the two groups. In an analysis adjusted for cervical dilation, race, antenatal corticosteroid use and GA at presentation, the Shirodkar group had an OR 0.3 (95%CI 0.1, 1.7) for PTB ≤28 weeks; OR 0.3 (95%CI 0.1, 1.3) for PTB ≤32 weeks. The Shirodkar group had an OR 2.9 (95%CI 0.4, 19.5) for neonatal survival. ConclusionIn this study, use of a McDonald vs. Shirodkar cerclage did not influence preterm birth ≤28 weeks, ≤32 weeks or neonatal survival. However, few women received a Shirodkar. A RCT of operative technique is urgently needed. In this study, use of a McDonald vs. Shirodkar cerclage did not influence preterm birth ≤28 weeks, ≤32 weeks or neonatal survival. However, few women received a Shirodkar. A RCT of operative technique is urgently needed." @default.
• W2085020070 created "2016-06-24" @default.
• W2085020070 creator A5006026607 @default.
• W2085020070 creator A5016676764 @default.
• W2085020070 creator A5033761350 @default.
• W2085020070 creator A5036142764 @default.
• W2085020070 creator A5040569345 @default.
• W2085020070 creator A5053420577 @default.
• W2085020070 creator A5065033288 @default.
• W2085020070 creator A5067710447 @default.
• W2085020070 creator A5072795067 @default.
• W2085020070 creator A5074925283 @default.
• W2085020070 creator A5084003450 @default.
• W2085020070 creator A5089360004 @default.
• W2085020070 date "2006-12-01" @default.
• W2085020070 modified "2023-09-26" @default.
• W2085020070 title "McDonald vs. Shirodkar: Outcomes in the expectant management compared to physical exam-indicated cerclage (EM-PEC) international cohort study" @default.
• W2085020070 doi "https://doi.org/10.1016/j.ajog.2006.10.064" @default.
• W2085020070 hasPublicationYear "2006" @default.
• W2085020070 type Work @default.
• W2085020070 sameAs 2085020070 @default.
• W2085020070 citedByCount "3" @default.
• W2085020070 countsByYear W20850200702013 @default.
• W2085020070 countsByYear W20850200702016 @default.
• W2085020070 crossrefType "journal-article" @default.
• W2085020070 hasAuthorship W2085020070A5006026607 @default.
• W2085020070 hasAuthorship W2085020070A5016676764 @default.
• W2085020070 hasAuthorship W2085020070A5033761350 @default.
• W2085020070 hasAuthorship W2085020070A5036142764 @default.
• W2085020070 hasAuthorship W2085020070A5040569345 @default.
• W2085020070 hasAuthorship W2085020070A5053420577 @default.
• W2085020070 hasAuthorship W2085020070A5065033288 @default.
• W2085020070 hasAuthorship W2085020070A5067710447 @default.
• W2085020070 hasAuthorship W2085020070A5072795067 @default.
• W2085020070 hasAuthorship W2085020070A5074925283 @default.
• W2085020070 hasAuthorship W2085020070A5084003450 @default.
• W2085020070 hasAuthorship W2085020070A5089360004 @default.
• W2085020070 hasConcept C126322002 @default.
• W2085020070 hasConcept C131872663 @default.
• W2085020070 hasConcept C2776622691 @default.
• W2085020070 hasConcept C2777601897 @default.
• W2085020070 hasConcept C2778376644 @default.
• W2085020070 hasConcept C2779234561 @default.
• W2085020070 hasConcept C29456083 @default.
• W2085020070 hasConcept C46973012 @default.
• W2085020070 hasConcept C54355233 @default.
• W2085020070 hasConcept C71924100 @default.
• W2085020070 hasConcept C72563966 @default.
• W2085020070 hasConcept C77350462 @default.
• W2085020070 hasConcept C86803240 @default.
• W2085020070 hasConceptScore W2085020070C126322002 @default.
• W2085020070 hasConceptScore W2085020070C131872663 @default.
• W2085020070 hasConceptScore W2085020070C2776622691 @default.
• W2085020070 hasConceptScore W2085020070C2777601897 @default.
• W2085020070 hasConceptScore W2085020070C2778376644 @default.
• W2085020070 hasConceptScore W2085020070C2779234561 @default.
• W2085020070 hasConceptScore W2085020070C29456083 @default.
• W2085020070 hasConceptScore W2085020070C46973012 @default.
• W2085020070 hasConceptScore W2085020070C54355233 @default.
• W2085020070 hasConceptScore W2085020070C71924100 @default.
• W2085020070 hasConceptScore W2085020070C72563966 @default.
• W2085020070 hasConceptScore W2085020070C77350462 @default.
• W2085020070 hasConceptScore W2085020070C86803240 @default.
• W2085020070 hasIssue "6" @default.
• W2085020070 hasLocation W20850200701 @default.
• W2085020070 hasOpenAccess W2085020070 @default.
• W2085020070 hasPrimaryLocation W20850200701 @default.
• W2085020070 hasRelatedWork W1981808566 @default.
• W2085020070 hasRelatedWork W2110447397 @default.
• W2085020070 hasRelatedWork W2210870611 @default.
• W2085020070 hasRelatedWork W2333891256 @default.
• W2085020070 hasRelatedWork W2419239561 @default.
• W2085020070 hasRelatedWork W3048306897 @default.
• W2085020070 hasRelatedWork W3163987424 @default.
• W2085020070 hasRelatedWork W3181785047 @default.
• W2085020070 hasRelatedWork W4281694272 @default.
• W2085020070 hasRelatedWork W985205842 @default.
• W2085020070 hasVolume "195" @default.
• W2085020070 isParatext "false" @default.
• W2085020070 isRetracted "false" @default.
• W2085020070 magId "2085020070" @default.
• W2085020070 workType "article" @default.