| dc.creator |
SEZİK, Mekin |
|
| dc.creator |
ÖZKAYA, Mehmet Okan |
|
| dc.creator |
Akkurt, Mehmet Ozgur |
|
| dc.creator |
Yavuz, And |
|
| dc.date |
2015-12-31T22:00:00Z |
|
| dc.date.accessioned |
2020-10-06T12:03:23Z |
|
| dc.date.available |
2020-10-06T12:03:23Z |
|
| dc.identifier |
fc3131d0-814b-453d-b34d-11b6c40d4310 |
|
| dc.identifier |
10.3109/14767058.2015.1087495 |
|
| dc.identifier |
https://avesis.sdu.edu.tr/publication/details/fc3131d0-814b-453d-b34d-11b6c40d4310/oai |
|
| dc.identifier.uri |
http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/76972 |
|
| dc.description |
Objective: To investigate the morbidity of infants, whose delivery was prolonged by an emergency cervical cerclage (EC).Methods: Ante- and postnatal data on subsequent EC procedures performed between 14 and 28 weeks of gestation for advanced cervical dilatation with prolapsing of amniotic membranes at a single institution within a 5-year-period were retrieved.Results: We identified 21 fetuses from 18 pregnancies. Median gestational age [interquartile range, IQR] at EC and prolongation of pregnancy was 21.5 [15-26] weeks and 49.3 [24-92] days, respectively. There were 4 (19%) stillbirths, 3 (14%) neonatal deaths, and 1 (5%) infant death. Ten infants (59% of livebirths) were admitted to neonatal intensive care unit and hospitalized for a median period of 11 [6-66] d. Of the surviving fetuses (14/21, 66.7%), 9 (42.8%) were intact, whereas 3 (17.6% of livebirths) had cerebral palsy (CP), 1 was diagnosed with hypothyroidism, and another had growth failure at 12 months of follow-up.Conclusion: EC seems to be beneficial only in a subset of pregnancies presenting with full cervical dilatation accompanied by prolapsing amniotic membranes into the vagina, and there is a requirement for more objective selection criteria. Neonatal morbidity, especially neurodevelopmental disability should be discussed thoroughly prior to this procedure. |
|
| dc.language |
eng |
|
| dc.rights |
info:eu-repo/semantics/closedAccess |
|
| dc.title |
Infant outcomes following midtrimester emergency cerclage in the presence of fully dilated cervix and prolapsing amniotic membranes into the vagina |
|
| dc.type |
info:eu-repo/semantics/article |
|