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Cervical Cerclage for Preterm Birth Prevention in Twin Gestations with Short Cervix: A Case-Control Study.

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Cervical Cerclage for Preterm Birth Prevention in Twin Gestations with Short Cervix: A Case-Control Study. / Houlihan, Christopher; Poon, Chiu Yee Liona; Ciarlo, Michele et al.

In: Obstetrics and Gynecology, 16.03.2016.

Research output: Contribution to journalArticlepeer-review

Harvard

Houlihan, C, Poon, CYL, Ciarlo, M, Kim, E, Guzman, E & Nicolaides, KH 2016, 'Cervical Cerclage for Preterm Birth Prevention in Twin Gestations with Short Cervix: A Case-Control Study.', Obstetrics and Gynecology. https://doi.org/10.1002/uog.15918

APA

Houlihan, C., Poon, C. Y. L., Ciarlo, M., Kim, E., Guzman, E., & Nicolaides, K. H. (2016). Cervical Cerclage for Preterm Birth Prevention in Twin Gestations with Short Cervix: A Case-Control Study. Obstetrics and Gynecology. https://doi.org/10.1002/uog.15918

Vancouver

Houlihan C, Poon CYL, Ciarlo M, Kim E, Guzman E, Nicolaides KH. Cervical Cerclage for Preterm Birth Prevention in Twin Gestations with Short Cervix: A Case-Control Study. Obstetrics and Gynecology. 2016 Mar 16. https://doi.org/10.1002/uog.15918

Author

Houlihan, Christopher ; Poon, Chiu Yee Liona ; Ciarlo, Michele et al. / Cervical Cerclage for Preterm Birth Prevention in Twin Gestations with Short Cervix: A Case-Control Study. In: Obstetrics and Gynecology. 2016.

Bibtex Download

@article{b91b1f47c5634223a957de88882846d2,
title = "Cervical Cerclage for Preterm Birth Prevention in Twin Gestations with Short Cervix: A Case-Control Study.",
abstract = "Objective: To determine if cervical cerclage reduces the rate of spontaneous early preterm birth in cases of ultrasound detected short cervix in dichorionic/diamniotic (DC-DA) twins. Study Design: This was a case-control study. The cases were 40 consecutive DC-DA twins at Saint Peter{\textquoteright}s University Hospital from November 2006 through May 2012 where cervical cerclage was performed for cervical length of 1-24 mm at 16-24 weeks{\textquoteright} gestation. The cases were matched with 40 controls with no cerclage for cervical length and gestational age at cervical assessment, maternal age, body mass index, racial origin, cigarette smoking, in-vitro fertilization, parity and prior preterm birth. The primary outcome measure was spontaneous delivery at <32 weeks. Results: In the cases, compared to controls, spontaneous delivery at <32 weeks was less frequent (20.0% vs. 50.0%; relative risk, 0.40; 95% confidence interval [CI], 0.20 to 0.80). Conclusion: In DC-DA twins with a short cervix, treatment with cervical cerclage may reduce the rate of early preterm birth. The findings recommend an adequate RCT on cerclage in twins with a short cervix. ",
author = "Christopher Houlihan and Poon, {Chiu Yee Liona} and Michele Ciarlo and Eugene Kim and Edwin Guzman and Nicolaides, {Kypros Herodotou}",
year = "2016",
month = mar,
day = "16",
doi = "10.1002/uog.15918",
language = "English",
journal = "Obstetrics and Gynecology",
issn = "0029-7844",
publisher = "Lippincott Williams and Wilkins",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Cervical Cerclage for Preterm Birth Prevention in Twin Gestations with Short Cervix: A Case-Control Study.

AU - Houlihan, Christopher

AU - Poon, Chiu Yee Liona

AU - Ciarlo, Michele

AU - Kim, Eugene

AU - Guzman, Edwin

AU - Nicolaides, Kypros Herodotou

PY - 2016/3/16

Y1 - 2016/3/16

N2 - Objective: To determine if cervical cerclage reduces the rate of spontaneous early preterm birth in cases of ultrasound detected short cervix in dichorionic/diamniotic (DC-DA) twins. Study Design: This was a case-control study. The cases were 40 consecutive DC-DA twins at Saint Peter’s University Hospital from November 2006 through May 2012 where cervical cerclage was performed for cervical length of 1-24 mm at 16-24 weeks’ gestation. The cases were matched with 40 controls with no cerclage for cervical length and gestational age at cervical assessment, maternal age, body mass index, racial origin, cigarette smoking, in-vitro fertilization, parity and prior preterm birth. The primary outcome measure was spontaneous delivery at <32 weeks. Results: In the cases, compared to controls, spontaneous delivery at <32 weeks was less frequent (20.0% vs. 50.0%; relative risk, 0.40; 95% confidence interval [CI], 0.20 to 0.80). Conclusion: In DC-DA twins with a short cervix, treatment with cervical cerclage may reduce the rate of early preterm birth. The findings recommend an adequate RCT on cerclage in twins with a short cervix.

AB - Objective: To determine if cervical cerclage reduces the rate of spontaneous early preterm birth in cases of ultrasound detected short cervix in dichorionic/diamniotic (DC-DA) twins. Study Design: This was a case-control study. The cases were 40 consecutive DC-DA twins at Saint Peter’s University Hospital from November 2006 through May 2012 where cervical cerclage was performed for cervical length of 1-24 mm at 16-24 weeks’ gestation. The cases were matched with 40 controls with no cerclage for cervical length and gestational age at cervical assessment, maternal age, body mass index, racial origin, cigarette smoking, in-vitro fertilization, parity and prior preterm birth. The primary outcome measure was spontaneous delivery at <32 weeks. Results: In the cases, compared to controls, spontaneous delivery at <32 weeks was less frequent (20.0% vs. 50.0%; relative risk, 0.40; 95% confidence interval [CI], 0.20 to 0.80). Conclusion: In DC-DA twins with a short cervix, treatment with cervical cerclage may reduce the rate of early preterm birth. The findings recommend an adequate RCT on cerclage in twins with a short cervix.

U2 - 10.1002/uog.15918

DO - 10.1002/uog.15918

M3 - Article

JO - Obstetrics and Gynecology

JF - Obstetrics and Gynecology

SN - 0029-7844

ER -

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