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- W2897280692 abstract "The use of ultrasound (US) indicated cervical cerclage for short cervix in twin pregnancies is a controversial topic. The objective of this study was to evaluate outcomes in twin pregnancies complicated by cervical shortening in those treated with cervical cerclage (CC) against those that were not. A retrospective cohort study was performed. All patients with coding diagnoses of short cervix (<25 mm on transvaginal US before 24 weeks' gestation) and twin pregnancies from 1/1/12 to 11/30/17 were included. Patients with singletons or delivered outside of our hospital system were excluded. Comparisons were made between patients with short cervix who received CC versus those who did not (control group; CON). The primary outcome was the latency period between diagnosis of short cervix and timing of delivery. A total of 105 patients were enrolled, 63 met inclusion criteria. Univariate analysis showed a significantly prolonged latency period in CC patients compared to CON patients (94.2±33.0 vs 69.5±36.5 days; p=0.014). CC patients were diagnosed with short cervix at an earlier GA (19.4±3.0 vs 23.1±3.4; p<0.001). There were no significant differences between the CC and CON groups with regards to neonatal outcomes. GA at delivery was not significantly related to the presence of amniotic sludge. When CC was included as an independent variable in a multivariate model that also included age, race, gravida and GA at the time of short cervix, cerclage was no longer a significant predictor of latency period (p=0.498). All the other independent variables were significantly related to latency period (p<0.05). Twin pregnancies treated with CC were diagnosed with short cervix at an earlier GA but delivered at the same time as the CON group. This resulted in a longer latency period but no difference in pregnancy or neonatal outcomes. Intra-amniotic sludge did not impact timing of delivery. Although the sample size was small, the data are consistent with ACOG's recommendations. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article." @default.
- W2897280692 created "2018-10-26" @default.
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- W2897280692 date "2018-10-01" @default.
- W2897280692 modified "2023-09-26" @default.
- W2897280692 title "OP07.02: Outcomes of cervical cerclage in twin pregnancies complicated by cervical shortening" @default.
- W2897280692 doi "https://doi.org/10.1002/uog.19444" @default.
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