Effectiveness of Prophylactic Cervical Cerclage in Prolonging Higher-Order Multiple Pregnancies
Journal Title: Sultan Qaboos University Medical Journal - Year 2017, Vol 17, Issue 3
Abstract
Objectives: Tis study aimed to assess the value of prophylactic cervical cerclage in prolonging higherorder multiple pregnancies. Methods: Tis retrospective study included all women with higher-order multiple pregnancies beyond 24 gestational weeks treated at the King Abdullah University Hospital in Irbid, Jordan, and King Fahad Medical City in Riyadh, Saudi Arabia, between February 2014 and January 2015. Selected maternal characteristics and obstetric outcomes were compared between women who received prophylactic cervical cerclage and those who did not. Results: A total of 146 women with higher-order multiple pregnancies were included in the study; of these, 94 (64.4%) underwent a prophylactic cervical cerclage insertion procedure and 52 (35.6%) women did not. No signifcant difference was found between the two groups with regards to maternal age, parity or number of fetuses. However, the mean gestational age at delivery was signifcantly higher for women without compared to those with prophylactic cervical cerclage (32.9 weeks versus 31.7 weeks) according to both univariate and multivariate analyses (P = 0.013 and 0.046, respectively). Additionally, 40.4% of women without and 14.9% of women with prophylactic cervical cerclage gave birth after 34 gestational weeks (P = 0.003). Conclusion: Overall, prophylactic cervical cerclage was not associated with prolongation of the pregnancy among women with higherorder multiple pregnancies in the current study.
Authors and Affiliations
Nail Obeidat| Departments of Obstetrics & Gynecology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan, Haifa Alchalabi| Departments of Obstetrics & Gynecology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan, Maha Obeidat| Department of Pediatrics, King Abdullah University Hospital, Ramtha, Jordan, Bahauddin Sallout| Department of Maternal-Fetal Medicine & Ultrasound, King Fahad Medical City, Riyadh, Saudi Arabia, Shereen Hamadneh| Faculty of Nursing, Al-Bayt University, Mafraq, Jordan, Jehan Hamadneh| Departments of Obstetrics & Gynecology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan, Yousef Khader| Departments of Public Health & Community Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan, Zouhair Amarin| Departments of Obstetrics & Gynecology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
Keywords
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- EP ID EP14795
- DOI 10.18295/squmj.2017.17.03.009
- Views 348
- Downloads 17
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