Publication:
A Three-Step Procedure for Emergency Cerclage: Gestational and Neonatal Outcomes.

dc.contributor.authorGomez-Castellano, Manuel
dc.contributor.authorSabonet-Morente, Lorena
dc.contributor.authorGonzalez-Mesa, Ernesto
dc.contributor.authorJimenez-Lopez, Jesus S
dc.date.accessioned2023-05-03T13:56:07Z
dc.date.available2023-05-03T13:56:07Z
dc.date.issued2022-02-24
dc.description.abstract(1) Background: The objective of our prospective observational study was to evaluate a new technique for emergency cerclage, which was performed on a cohort of patients with cervical incompetence in the second trimester. (2) Methods: 26 pregnant women presented at 15 to 24 weeks of gestation with cervical dilatation and bursa prolapse. A new emergency cerclage was performed using a technique consisting of the first cerclage in a tobacco bag and a second occlusive cerclage located inferiorly to the first. The technique is concluded with the performance of a cervical cleisis when vaginal bag prolapse is present, and this overall procedure is called the three-step procedure for emergency cerclage (TSEC). (3) Results: To assess its effectiveness, we measured the latency from procedure to delivery, pregnancy duration, infant birth weight, and rate of premature amniorrhexis. The mean latency from procedure to delivery was 14 weeks + 6 days, the mean weight of newborns was 2550 g and the mean gestational age at delivery was 35 weeks. The neonatal survival rate was 95.8%. The rate of premature amniorrhexis (<34 weeks gestational age) was 8.3% (two cases) with successful perinatal outcomes. There were significant differences (p < 0.05) between groups. A multivariate regression model showed that the best variables for predicting the latency to delivery were the cervical dilatation at diagnosis, use of the three-step cerclage, cervical length after theprocedure, and gestational age at diagnosis. (4) Conclusions: The excellent results obtained with the TSEC procedure in terms of the latency from the procedure to delivery, gestational age at delivery, birth weight, and having few reported complications highlight the importance of collecting new data in this promising novel procedure
dc.description.versionSi
dc.identifier.citationGómez-Castellano M, Sabonet-Morente L, González-Mesa E, Jiménez-López JS. A Three-Step Procedure for Emergency Cerclage: Gestational and Neonatal Outcomes. Int J Environ Res Public Health. 2022 Feb 24;19(5):2636
dc.identifier.doi10.3390/ijerph19052636
dc.identifier.essn1660-4601
dc.identifier.pmcPMC8909863
dc.identifier.pmid35270320
dc.identifier.pubmedURLhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8909863/pdf
dc.identifier.unpaywallURLhttps://www.mdpi.com/1660-4601/19/5/2636/pdf?version=1645701262
dc.identifier.urihttp://hdl.handle.net/10668/21036
dc.issue.number5
dc.journal.titleInternational journal of environmental research and public health
dc.journal.titleabbreviationInt J Environ Res Public Health
dc.language.isoen
dc.organizationHospital Universitario Regional de Málaga
dc.organizationInstituto de Investigación Biomédica de Málaga-IBIMA
dc.page.number14
dc.provenanceRealizada la curación de contenido 06/03/2025
dc.publisherMDPI
dc.pubmedtypeJournal Article
dc.pubmedtypeObservational Study
dc.relation.publisherversionhttps://www.mdpi.com/resolver?pii=ijerph19052636
dc.rightsAttribution 4.0 International
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectCervical incompetence
dc.subjectEmergency cerclage
dc.subjectPreterm birth
dc.subject.decsJurisprudencia
dc.subject.decsEdad gestacional
dc.subject.decsUrgencias médicas
dc.subject.decsPrimer periodo del trabajo de parto
dc.subject.decsCerclaje cervical
dc.subject.decsMujeres embarazadas
dc.subject.meshBirth Weight
dc.subject.meshCerclage, Cervical
dc.subject.meshFemale
dc.subject.meshGestational Age
dc.subject.meshHumans
dc.subject.meshInfant, Newborn
dc.subject.meshPregnancy
dc.subject.meshPregnancy Outcome
dc.subject.meshPremature Birth
dc.subject.meshRetrospective Studies
dc.titleA Three-Step Procedure for Emergency Cerclage: Gestational and Neonatal Outcomes.
dc.typeresearch article
dc.type.hasVersionVoR
dc.volume.number19
dspace.entity.typePublication

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