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Iranian Journal of Public Health، جلد ۵۳، شماره ۱۱، صفحات ۲۵۰۰-۲۵۰۸
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عنوان انگلیسی Subsequent Pregnancy Outcomes Following Prepregnancy Cerclage in Patients with Absent Ecto Cervix
چکیده انگلیسی مقاله Background: We aimed to determine whether the prepregnancy cerclage for women with cervical incompetence with absent ecto‑cervix affects the time from surgery to conception and subsequent pregnancy outcome. Methods: This retrospective study was carried out on patients with at least one previous history of second-trimester abortion and extremely short cervix found by gynecological examination. A total of 40 cases of McDonald's cerclage before pregnancy were performed. The time from surgery to conception and pregnancy outcome were followed up for 4 years. The main outcomes were the time from surgery to conception, and the gestational week of delivery, miscarriage rate, preterm delivery rate. Results: Between September 2018 and December 2022, 37 women became pregnant following prepregnancy cerclage. In total, 36 babies were born to 37 mothers. The recurrence rate of second-trimester miscarriage was 8.11% (3/37) and the preterm birth rate was 29.73% (11/37). Mean time from surgery to conception was 38w (range 2w-160w).Mean gestational age at delivery was 36 weeks +4 (256 days).The live birth rate was 100%. There were no maternal complications, no intestinal and bladder injuries. Conclusion: Cervical incompetence patients with absent ecto‑cervix may benefit from prepregnancy cerclage without affecting the interpregnancy interval.
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نویسندگان مقاله | Jin Lu
Department of Obstetrics and Gynecology, Second Affiliated Hospital of Soochow University, Suzhou, China


| Ling Zhou
Department of Obstetrics and Gynecology, Second Affiliated Hospital of Soochow University, Suzhou, China


| Minqin Xu
Department of Obstetrics and Gynecology, Second Affiliated Hospital of Soochow University, Suzhou, China


| Li Yang
Department of Obstetrics and Gynecology, Second Affiliated Hospital of Soochow University, Suzhou, China


| Xue Li
Department of Obstetrics and Gynecology, Second Affiliated Hospital of Soochow University, Suzhou, China
نشانی اینترنتی https://ijph.tums.ac.ir/index.php/ijph/article/view/34999
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