Randomized trial of ultrasound-indicated cerclage in singleton women without lower genital tract inflammation.

作者: Katsufumi Otsuki , Akihito Nakai , Yoshio Matsuda , Norio Shinozuka , Ikuno Kawabata

DOI: 10.1111/JOG.12880

关键词:

摘要: Aim This is the first report of a randomized trial cerclage on pure cervical shortening without vaginosis or cervicitis. The objective our multicenter controlled was to assess benefits ultrasound-indicated in mid-trimester prevent preterm birth women who have no signs infection inflammation lower genital tract. Material and Methods Women with short length < 25 mm between 16 26 weeks gestation were randomly assigned receive Shirodkar cerclage, McDonald bedrest (no cerclage). Before being one three groups, all screened for infection/inflammation tract; those positive results excluded from study. ratio delivery as primary end-point evaluated groups. Results A total 106 singleton patients assessed study eligibility; treatment options. Ultimately, 98 (in [n = 34], 34] 30] groups) analyzed. No differences perinatal outcomes found groups. Significantly fewer group required hospitalization threatened labor when compared group. Conclusion For gestation, might be considered reduce occurrence labor.

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