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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
- 2021.12
- 수록면
- 1,083 - 1,089 (7page)
- DOI
- 10.3349/ymj.2021.62.12.1083
이용수
초록· 키워드
오류제보하기
Purpose: To investigate potential differences in the frequency of preterm births (PTB) between pregnancies with or without prophylactic cerclage in women with a history of conization.
Materials and Methods: We identified women who had their first singleton delivery after conization between 2013 and 2018 using records in the National Health Insurance Service of Korea claims database. We only included women who had undergone a health examination and interview within 2 years before delivery. We used timing of maternal serum alpha-fetoprotein (MSAFP) tests to differentiate early (before) from late (after the MSAFP test) cerclage. The frequency of adverse pregnancy outcomes, including PTB, preterm labor and premature rupture of membranes, antibiotics and tocolytics use, cesarean delivery, and number of admissions before delivery, were compared.
Results: A total of 8322 women was included. Compared to the no cerclage group (n=7147), the risks of adverse pregnancy outcomes were higher in the cerclage group (n=1175). After categorizing patients with cerclage into two groups, the risk of PTB was still higher in the early cerclage group than in the no cerclage group after adjusting for baseline factors (4.48%, 30/669 vs. 2.77%, 159/5749, odds ratio 2.42, 95% confidence interval 1.49, 3.92). Other adverse pregnancy outcomes were also more frequent in the early cerclage group than the no cerclage group.
Conclusion: Early cerclage performed before MSAFP testing does not prevent PTB in pregnancy with a history of conization, but increases the risk of adverse pregnancy outcomes, including PTB.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Albrechtsen S / 2008 / Pregnancy outcome in women before and after cervical conisation: population based cohort study / BMJ 337:a1343
Bevis KS / 2011 / Cervical conization and the risk of preterm delivery / Am J Obstet Gynecol 205:19~27
Heinonen A / 2013 / Loop electrosurgical excision procedure and the risk for preterm delivery / Obstet Gynecol 121:1063~1068
Jakobsson M / 2007 / Preterm delivery after surgical treatment for cervical intraepithelial neoplasia / Obstet Gynecol 109(2 Pt 1):309~313
Kyrgiou M / 2017 / Obstetric outcomes after conservative treatment for cervical intraepithelial lesions and early invasive disease / Cochrane Database Syst Rev 11:CD012847
Bevis KS / 2011 / Cervical conization and the risk of preterm delivery / Am J Obstet Gynecol 205:19~27
Heinonen A / 2013 / Loop electrosurgical excision procedure and the risk for preterm delivery / Obstet Gynecol 121:1063~1068
Jakobsson M / 2007 / Preterm delivery after surgical treatment for cervical intraepithelial neoplasia / Obstet Gynecol 109(2 Pt 1):309~313
Kyrgiou M / 2017 / Obstetric outcomes after conservative treatment for cervical intraepithelial lesions and early invasive disease / Cochrane Database Syst Rev 11:CD012847
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