Factors Associated with Spontaneous Preterm Birth after Ultrasound-Indicated Cerclage
Ultrasound-indicated cerclage (UIC) is recommended to prevent spontaneous preterm birth (sPTB) in women with a short cervix at mid-trimester and a history of PTB. We assessed the factors related to sPTB after UIC and determined the corresponding risks. This retrospective cohort study was conducted a...
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| Veröffentlicht in: | Journal of personalized medicine 2023-12, Vol.13 (12), p.1678 |
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| container_issue | 12 |
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| container_title | Journal of personalized medicine |
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| creator | Lee, Kyong-No Yun, Sangho Park, So-Yoon Kim, Kyoungseon Lee, Keun-Young Lee, Jae Jun Son, Ga-Hyun |
| description | Ultrasound-indicated cerclage (UIC) is recommended to prevent spontaneous preterm birth (sPTB) in women with a short cervix at mid-trimester and a history of PTB. We assessed the factors related to sPTB after UIC and determined the corresponding risks. This retrospective cohort study was conducted at a university hospital. UIC was performed between 15 and 26 weeks of gestation in women with a cervical length of |
| doi_str_mv | 10.3390/jpm13121678 |
| format | Article |
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We assessed the factors related to sPTB after UIC and determined the corresponding risks. This retrospective cohort study was conducted at a university hospital. UIC was performed between 15 and 26 weeks of gestation in women with a cervical length of <2.5 cm. Univariate and multivariate analyses were used to examine factors associated with sPTB after UIC. An earlier gestational age and shorter cervical length at UIC were associated with sPTB after UIC. While PTB history was not associated with an increased risk of sPTB, it did increase the risk of repeat cerclage after UIC. Higher levels of preoperative serum inflammatory markers and obesity significantly increased the risk of sPTB after UIC. These findings provide helpful guidance for patient counseling and management in predicting the delivery timing after UIC in women with a short cervix in the mid-trimester.</description><identifier>ISSN: 2075-4426</identifier><identifier>EISSN: 2075-4426</identifier><identifier>DOI: 10.3390/jpm13121678</identifier><identifier>PMID: 38138905</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Body mass index ; Cervix ; Gestational age ; Inflammation ; Medical prognosis ; Membranes ; Mortality ; Overweight ; Patients ; Precision medicine ; Pregnancy ; Premature birth ; Ultrasonic imaging ; Ultrasound ; Vagina ; Womens health</subject><ispartof>Journal of personalized medicine, 2023-12, Vol.13 (12), p.1678</ispartof><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c354t-ca6f43452fef0fc5f675f6aabd9efdb7997c29f30a76e442b3c2504bbfade5ff3</citedby><cites>FETCH-LOGICAL-c354t-ca6f43452fef0fc5f675f6aabd9efdb7997c29f30a76e442b3c2504bbfade5ff3</cites><orcidid>0000-0001-5393-0832</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38138905$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Kyong-No</creatorcontrib><creatorcontrib>Yun, Sangho</creatorcontrib><creatorcontrib>Park, So-Yoon</creatorcontrib><creatorcontrib>Kim, Kyoungseon</creatorcontrib><creatorcontrib>Lee, Keun-Young</creatorcontrib><creatorcontrib>Lee, Jae Jun</creatorcontrib><creatorcontrib>Son, Ga-Hyun</creatorcontrib><title>Factors Associated with Spontaneous Preterm Birth after Ultrasound-Indicated Cerclage</title><title>Journal of personalized medicine</title><addtitle>J Pers Med</addtitle><description>Ultrasound-indicated cerclage (UIC) is recommended to prevent spontaneous preterm birth (sPTB) in women with a short cervix at mid-trimester and a history of PTB. We assessed the factors related to sPTB after UIC and determined the corresponding risks. This retrospective cohort study was conducted at a university hospital. UIC was performed between 15 and 26 weeks of gestation in women with a cervical length of <2.5 cm. Univariate and multivariate analyses were used to examine factors associated with sPTB after UIC. An earlier gestational age and shorter cervical length at UIC were associated with sPTB after UIC. While PTB history was not associated with an increased risk of sPTB, it did increase the risk of repeat cerclage after UIC. Higher levels of preoperative serum inflammatory markers and obesity significantly increased the risk of sPTB after UIC. These findings provide helpful guidance for patient counseling and management in predicting the delivery timing after UIC in women with a short cervix in the mid-trimester.</description><subject>Body mass index</subject><subject>Cervix</subject><subject>Gestational age</subject><subject>Inflammation</subject><subject>Medical prognosis</subject><subject>Membranes</subject><subject>Mortality</subject><subject>Overweight</subject><subject>Patients</subject><subject>Precision medicine</subject><subject>Pregnancy</subject><subject>Premature birth</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><subject>Vagina</subject><subject>Womens health</subject><issn>2075-4426</issn><issn>2075-4426</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdkN9LwzAQx4Mobsw9-S4FXwSppvnRtI9z-GMwUNA9lzS9aEfb1CRl-N-buSnDg-MS7pPLfb8InSf4htIc3677NqEJSVKRHaExwYLHjJH0-OA8QlPn1jhExglJ8Ska0SyhWY75GK0epPLGumjmnFG19FBFm9p_RK-96bzswAwuerHgwbbRXW1DR-pwiVaNt9KZoaviRVfV6uflHKxq5DucoRMtGwfTfZ2Ef-7f5k_x8vlxMZ8tY0U587GSqWaUcaJBY624TkVIKcsqB12VIs-FIrmmWIoUgpSSKsIxK0stK-Ba0wm62s3trfkcwPmirZ2CptktXpCgMWimKQvo5T90bQbbhe22FBOJEDQP1PWOUtY4Z0EXva1bab-KBBdbw4sDwwN9sZ85lC1Uf-yvvfQb6V58MQ</recordid><startdate>20231201</startdate><enddate>20231201</enddate><creator>Lee, Kyong-No</creator><creator>Yun, Sangho</creator><creator>Park, So-Yoon</creator><creator>Kim, Kyoungseon</creator><creator>Lee, Keun-Young</creator><creator>Lee, Jae Jun</creator><creator>Son, Ga-Hyun</creator><general>MDPI AG</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FE</scope><scope>8FH</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5393-0832</orcidid></search><sort><creationdate>20231201</creationdate><title>Factors Associated with Spontaneous Preterm Birth after Ultrasound-Indicated Cerclage</title><author>Lee, Kyong-No ; Yun, Sangho ; Park, So-Yoon ; Kim, Kyoungseon ; Lee, Keun-Young ; Lee, Jae Jun ; Son, Ga-Hyun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-ca6f43452fef0fc5f675f6aabd9efdb7997c29f30a76e442b3c2504bbfade5ff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Body mass index</topic><topic>Cervix</topic><topic>Gestational age</topic><topic>Inflammation</topic><topic>Medical prognosis</topic><topic>Membranes</topic><topic>Mortality</topic><topic>Overweight</topic><topic>Patients</topic><topic>Precision medicine</topic><topic>Pregnancy</topic><topic>Premature birth</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><topic>Vagina</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Kyong-No</creatorcontrib><creatorcontrib>Yun, Sangho</creatorcontrib><creatorcontrib>Park, So-Yoon</creatorcontrib><creatorcontrib>Kim, Kyoungseon</creatorcontrib><creatorcontrib>Lee, Keun-Young</creatorcontrib><creatorcontrib>Lee, Jae Jun</creatorcontrib><creatorcontrib>Son, Ga-Hyun</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of personalized medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Kyong-No</au><au>Yun, Sangho</au><au>Park, So-Yoon</au><au>Kim, Kyoungseon</au><au>Lee, Keun-Young</au><au>Lee, Jae Jun</au><au>Son, Ga-Hyun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors Associated with Spontaneous Preterm Birth after Ultrasound-Indicated Cerclage</atitle><jtitle>Journal of personalized medicine</jtitle><addtitle>J Pers Med</addtitle><date>2023-12-01</date><risdate>2023</risdate><volume>13</volume><issue>12</issue><spage>1678</spage><pages>1678-</pages><issn>2075-4426</issn><eissn>2075-4426</eissn><abstract>Ultrasound-indicated cerclage (UIC) is recommended to prevent spontaneous preterm birth (sPTB) in women with a short cervix at mid-trimester and a history of PTB. We assessed the factors related to sPTB after UIC and determined the corresponding risks. This retrospective cohort study was conducted at a university hospital. UIC was performed between 15 and 26 weeks of gestation in women with a cervical length of <2.5 cm. Univariate and multivariate analyses were used to examine factors associated with sPTB after UIC. An earlier gestational age and shorter cervical length at UIC were associated with sPTB after UIC. While PTB history was not associated with an increased risk of sPTB, it did increase the risk of repeat cerclage after UIC. Higher levels of preoperative serum inflammatory markers and obesity significantly increased the risk of sPTB after UIC. 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| source | MDPI - Multidisciplinary Digital Publishing Institute; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | Body mass index Cervix Gestational age Inflammation Medical prognosis Membranes Mortality Overweight Patients Precision medicine Pregnancy Premature birth Ultrasonic imaging Ultrasound Vagina Womens health |
| title | Factors Associated with Spontaneous Preterm Birth after Ultrasound-Indicated Cerclage |
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