The benefit of prophylactic cervical cerclage in twin pregnancies

Abdulmalek, Iman Yousif

doi:10.4103/mjbl.mjbl_119_18

Cited by 2 publications

(3 citation statements)

References 5 publications

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“…Similar neonatal outcomes were observed by Abdulmalek et al in another study done by Michelle et al, also showed that there was a significant increase in birth weight (median 2278 versus 1665 g, p<0.001) and decrease in perinatal death <30 days (1.6 versus 12.9%, p=0.001). 22 These results are also consistent with those of a recent retrospective cohort study done by Houlihan et al where there was a significant increase in mean birth weight in the cerclage group (2338 grams) compared with no cerclage group (1687 grams). 26 However some of the systematic reviews and meta-analysis studies revealed that there is no evidence the cerclage is an effective intervention for preventing and reducing perinatal deaths or neonatal morbidity.…”

Section: Neonatal Morbidity and Mortalitysupporting

confidence: 92%

“…12,[19][20][21] However, in the recent studies it has been shown that cervical cerclage is effective in prolonging the pregnancy and reducing preterm delivery in twin pregnancies conceived by ART methods and thereby preventing the associated complications both maternal and neonatal. 16,22 Similarly, this study was done among 108 women with twin pregnancy conceived by ICSI procedure. However, there were no controls in our study.…”

Section: Discussionmentioning

confidence: 99%

“…The study results were in consonance with other studies conducted elsewhere . 16,[22][23][24] In a study done by Michelle et al showed that The rates of spontaneous preterm birth <32 weeks were 10.4% with cerclage and after adjusting for various study variables, in the cerclage group there was a significant reduction of spontaneous preterm birth <32 weeks (adjusted odds ratio (aOR) 0.24, CI 0.06-0.90, p=0.035), spontaneous preterm birth <36 weeks (a OR 0.34, CI 0.04-.81, p=0.013). In a similar study by Houlihan, et al in the prediction of spontaneous delivery <32 weeks, logistic regression analysis demonstrated that the risk was reduced with the insertion of cervical cerclage (odds ratio,0.22 (95% CI, 0.058-0.835); p=0.026).…”

Section: Prolonging the Duration Of Pregnancy And Rate Of Preterm Births At <32 Weeksmentioning

confidence: 99%

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Utility of prophylactic cervical cerclage in intra-cytoplasmic sperm injection twins: a prospective study

Manjunath¹,

Bandi²

2020

Int J Reprod Contracept Obstet Gynecol

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Background: Several interventions have been used to reduce the rate of preterm birth and prolonging gestation in a twin pregnancy and routine usage of cervical cerclage in twin pregnancy conceived after intra-cytoplasmic sperm injection (ICSI) procedure has found to be beneficial.Methods: Prospective case series studies, series of expectant mothers with twin pregnancy conceived by ICSI were studied under tertiary care hospital setting. A total of 108 cases with twin pregnancy were included during a period of 2016 to 2019. Obstetric profile of all the cases was taken; cervical cerclage procedure was done at 14-16 weeks of gestation (McDonald method) after a normal nuchal translucency scan and a double marker test. Pregnancy outcome parameters like abortion, preterm labour/delivery, premature rupture of membranes (PROM), and mode of delivery, gestational age at delivery, birth weight and neonatal complications were assessed.Results: Mean age of the mothers was 30.61±4.45 years, rates of the pregnancy outcome parameters were abortion 0%, preterm labour 11.1%, premature rupture of membranes (PROM) 9.3%, mean gestational age at delivery was at 34.56±1.71 weeks. Neonatal outcome parameters were mean birth weight was at 2279±470 grams, 77.8% of the neonates had normal APGAR scores. The rates of NICU admission was 28%, RDS– 24.1%, 3.7% had sepsis and 92.6% of neonates survived and 7.4% died.Conclusions: In ICSI twin pregnancies with normal cervical measurements, prophylactic cervical cerclage is effective in prolonging pregnancy and preventing preterm delivery and thereby minimizing neonatal morbidity and mortality.

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Section: Neonatal Morbidity and Mortalitysupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Prolonging the Duration Of Pregnancy And Rate Of Preterm Births At <32 Weeksmentioning

confidence: 99%

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Utility of prophylactic cervical cerclage in intra-cytoplasmic sperm injection twins: a prospective study

Manjunath¹,

Bandi²

2020

Int J Reprod Contracept Obstet Gynecol

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Histological changes of endocervical polypoid lesions in women at reproductive age

Al-Hamdany,

Fadhil

2024

MJBL

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Background: Endocervical polyps (ECP) are fragile benign protrusions commonly affecting 2%–5% of women during the reproductive age. Aim: This study aimed to identify the histopathological changes of clinically identified endocervical polypoid lesions during the reproductive age to detect any premalignant or malignant transformation if present. The objective is to assist the clinicians to decide whether the cervical polyps should be excised or not. Materials and Methods: Sixty specimens of the resected cervical polyps were obtained from Al-Salaam Teaching Hospital in Mosul city during the period from June 2021 to February 2022, women diagnosed to have cervical polyps on per speculum examination were given a time to be operated on with exclusion of pregnant, postmenopausal women, those on hormone replacement therapy, and those below 20 years. After polypectomy, fixation of biopsies in 10% buffered formalin was done followed by processing and staining with hematoxylin and eosin for histological examination. Chi-square test was used for interpretation of the histological findings. Results: The study revealed that 52% of the enrolled women were in the range of 40–49 years of age. Squamous metaplasia and benign microglandular hyperplasia were detected equally in 25% of the study group. Nabothian cyst was observed in 8%, whereas leiomyoma presenting as cervical polyp in 6%. Fortunately, no malignant changes were reported in the examined 60 cases and the only serious lesion was cervical intraepithelial neoplasia (CIN) observed in 2% of the examined polyps. Conclusion: we conclude as the incidence of malignant transformation of endocervical polyp is low in women in reproductive age and the only critical lesion is in situ intraepithelial neoplasia (CIN), it is proposed to follow an expectant management without interference and those patients can be only followed up to improve their health.

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The benefit of prophylactic cervical cerclage in twin pregnancies

Cited by 2 publications

References 5 publications

Utility of prophylactic cervical cerclage in intra-cytoplasmic sperm injection twins: a prospective study

Utility of prophylactic cervical cerclage in intra-cytoplasmic sperm injection twins: a prospective study

Histological changes of endocervical polypoid lesions in women at reproductive age

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