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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 231 - 238 (8page)
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초록· 키워드
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ObjectiveWe aimed to evaluate the effectiveness of cervical pessary for extending twin pregnancy in women with a shortcervix. MethodsBetween January 2014 and March 2019, the use of a cervical pessary for twin pregnancy in women with a cervicallength of ≤15 mm was investigated between 16 and 28 weeks of gestation. We included women with a shortenedcervix after a cerclage procedure and visible fetal membranes and cervical dilatation. Thirteen patients underwentpessary insertion and were matched with a control group of 15 patients. Pregnancy and neonatal outcomes werecompared between the groups. We excluded women with major fetal anomalies discovered before or after birth andknown placenta previa. ResultsWomen who underwent pessary insertion were diagnosed with a short cervix (0.65±0.47 vs. 0.66±0.51 cm in thepessary and control groups, respectively; P=0.957) at a gestational age similar to that of the controls (23.29 vs. 25.14weeks, P=0.294). There was no significant difference in gestational age at delivery between them (33.29 vs. 27.29weeks in the pessary and control groups, respectively, P=0.058). The pessary group had a longer interval betweenthe diagnosis and delivery than the control group (60.7±28.3 vs. 22.6±24.5 days, P=0.001). The number of adverseneonatal outcomes was significantly lower in the pessary group (n=7; 28.0%) than in the control group (n=14; 58.3%;P=0.032). ConclusionThe use of a cervical pessary may prolong gestation in twin pregnancies in women with an extremely short cervix untilviable gestational age.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Martin JA / 2018 / Births : final data for 2016 / Natl Vital Stat Rep 67:1~55
Ehsanipoor RM / 2012 / Gestational age at cervical length measurement and preterm birth in twins / Ultrasound Obstet Gynecol 40:81~86
Fox NS / 2015 / Gestational age at cervical length and fetal fibronectin assessment and the incidence of spontaneous preterm birth in twins / J Ultrasound Med 34:977~984
Goldenberg RL / 1996 / The preterm prediction study : risk factors in twin gestations / Am J Obstet Gynecol 175:1047~1053
Lim AC / 2011 / Cervical length measurement for the prediction of preterm birth in multiple pregnancies : a systematic review and bivariate meta-analysis / Ultrasound Obstet Gynecol 38:10~17
Ehsanipoor RM / 2012 / Gestational age at cervical length measurement and preterm birth in twins / Ultrasound Obstet Gynecol 40:81~86
Fox NS / 2015 / Gestational age at cervical length and fetal fibronectin assessment and the incidence of spontaneous preterm birth in twins / J Ultrasound Med 34:977~984
Goldenberg RL / 1996 / The preterm prediction study : risk factors in twin gestations / Am J Obstet Gynecol 175:1047~1053
Lim AC / 2011 / Cervical length measurement for the prediction of preterm birth in multiple pregnancies : a systematic review and bivariate meta-analysis / Ultrasound Obstet Gynecol 38:10~17
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