Longitudinal change in cervical length following vaginal or abdominal cervical cerclage: a randomized comparison

Ridout, Alexandra; Carter, Jennifer; Seed, Paul; Chandiramani, Manju; David, Anna L.; Tribe, Rachel; Shennan, Andrew

doi:10.1016/j.ajogmf.2023.100987

Cited by 3 publications

(2 citation statements)

References 26 publications

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“…While there are multiple studies assessing cervical length in patients without a cerclage, few studies have assessed cervical lengths and odds of spontaneous preterm birth in patients with cervical cerclages, particularly at 20-24 weeks gestation. Additionally, studies have examined the effect of the location of the cervical cerclage within the cervix [ 10 , 11 ]. Battarbee et al worked to identify ultrasonographic criteria associated with an increased risk of PTB in patients with a cervical cerclage [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Among them was a short cervical length between the cerclage and external os [ 10 ]. Additionally, Ridout et al assessed the longitudinal change in cervical length post-cervical cerclage placement in patients with a history of a failed vaginal cerclage, and they found that in their cohort, cervical length was a good predictor of sPTB [ 11 ]. These studies are of particular interest as our present study suggests that patients with sPTB in our cohort had overall shorter TVCL.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Is There Utility in Transvaginal Cervical Length Surveillance After Cerclage Placement for the Prediction of Spontaneous Preterm Birth?

Cochrane,

Getrajdman,

Tavella

et al. 2024

Cureus

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Is There Utility in Transvaginal Cervical Length Surveillance After Cerclage Placement for the Prediction of Spontaneous Preterm Birth?

Cochrane,

Getrajdman,

Tavella

et al. 2024

Cureus

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Longitudinal change in cervical length measured after prophylactic cerclage in predicting spontaneous preterm birth

Lv,

Jin,

Wang

et al. 2024

Intl J Gynecology & Obste

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ObjectiveTo evaluate the value of serial post‐cerclage cervical length measurements in predicting preterm birth.MethodsThis was a retrospective study of women with a singleton pregnancy who underwent prophylactic transvaginal cerclage from 2017 to 2023. Prophylactic cerclage was performed in women with an obstetric history of cervical insufficiency. After cerclage, all participants underwent routine transvaginal cervical measurement every 2–4 weeks until 32–34 weeks of gestation. Trajectory patterns of changes in cervical length were identified through latent class trajectory modeling. The association of patterns with spontaneous preterm birth and pregnancy interval was analyzed by multivariable logistic regression analysis and Cox proportional hazards regression models. The specific characteristics of changes in cervical length associated with preterm birth were identified.ResultsWe involved 225 women and acquired a total of 1248 measurements of cervical length. Two distinct trajectories of cervical length change along gestation were identified: Class 1 (persistent shortening of cervix, n = 52 [23.11%]) and class 2 (stable cervix, n = 173 [76.89%]). Women in class 1 were highly associated with spontaneous preterm birth, with a hazard ratio (95% confidence interval [CI]) of 2.00 (1.36, 2.96). The average shortening rate ≥0.24 cm per week and cervical length ≤1.1 cm was significantly associated with spontaneous preterm birth at different gestational age.ConclusionSerial sonographic cervical length measurements after prophylactic cerclage are valuable in predicting preterm birth.

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Transvaginal cervical cerclage – How well do surgeons assess their own procedures?

Kirstine Hansen,

Shennan,

Louise Eisland-Schmidt Christiansen

et al. 2024

European Journal of Obstetrics & Gynecology and Reproductiv

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Longitudinal change in cervical length following vaginal or abdominal cervical cerclage: a randomized comparison

Cited by 3 publications

References 26 publications

Is There Utility in Transvaginal Cervical Length Surveillance After Cerclage Placement for the Prediction of Spontaneous Preterm Birth?

Is There Utility in Transvaginal Cervical Length Surveillance After Cerclage Placement for the Prediction of Spontaneous Preterm Birth?

Longitudinal change in cervical length measured after prophylactic cerclage in predicting spontaneous preterm birth

Transvaginal cervical cerclage – How well do surgeons assess their own procedures?

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