OBJECTIVE: To develop a simple score for assessing the risk of early preterm delivery before 32 weeks in women with singleton pregnancies receiving emergency cervical cerclage. DESIGN: Retrospective study. SETTING: French tertiary care center from 1994 to 2006. POPULATION: A total of 134 pregnant women underwent emergency cervical cerclage procedure at 15-26 weeks. The analysis concerned 85 singleton pregnancies after exclusion of women with a dilated cervix without visible membranes, or presenting for revision of failed prophylactic cerclage, or who had either preterm premature rupture of membranes or clinical signs of chorioamnionitis. METHODS: Multivariate logistic regression methods with rounded coefficients were used to develop a score to predict early preterm delivery before 32 weeks. MAIN OUTCOME MEASURES: Early preterm delivery before 32 weeks. RESULTS: The score, ranging from 0 to 15 points, was based on the following four criteria independently associated with early preterm delivery: obstetric history; cervical dilatation; membranes bulging into the vagina; and infection. Each score value was associated with a predicted probability of early preterm birth. CONCLUSIONS: The score and its associated early preterm probabilities may be a valuable tool to help physicians in advising women about the need for emergency cerclage.
OBJECTIVE: To develop a simple score for assessing the risk of early preterm delivery before 32 weeks in women with singleton pregnancies receiving emergency cervical cerclage. DESIGN: Retrospective study. SETTING: French tertiary care center from 1994 to 2006. POPULATION: A total of 134 pregnant women underwent emergency cervical cerclage procedure at 15-26 weeks. The analysis concerned 85 singleton pregnancies after exclusion of women with a dilated cervix without visible membranes, or presenting for revision of failed prophylactic cerclage, or who had either preterm premature rupture of membranes or clinical signs of chorioamnionitis. METHODS: Multivariate logistic regression methods with rounded coefficients were used to develop a score to predict early preterm delivery before 32 weeks. MAIN OUTCOME MEASURES: Early preterm delivery before 32 weeks. RESULTS: The score, ranging from 0 to 15 points, was based on the following four criteria independently associated with early preterm delivery: obstetric history; cervical dilatation; membranes bulging into the vagina; and infection. Each score value was associated with a predicted probability of early preterm birth. CONCLUSIONS: The score and its associated early preterm probabilities may be a valuable tool to help physicians in advising women about the need for emergency cerclage.
Authors: Rebecca J Baer; Monica R McLemore; Nancy Adler; Scott P Oltman; Brittany D Chambers; Miriam Kuppermann; Matthew S Pantell; Elizabeth E Rogers; Kelli K Ryckman; Marina Sirota; Larry Rand; Laura L Jelliffe-Pawlowski Journal: Eur J Obstet Gynecol Reprod Biol Date: 2018-11-05 Impact factor: 2.435
Authors: Max Mönckeberg; Rafael Valdés; Juan P Kusanovic; Manuel Schepeler; Jyh K Nien; Emiliano Pertossi; Pablo Silva; Karla Silva; Pía Venegas; Ulises Guajardo; Roberto Romero; Sebastián E Illanes Journal: J Perinat Med Date: 2019-07-26 Impact factor: 2.716
Authors: Katarzyna Kosinska-Kaczynska; Dorota Bomba-Opon; Aleksandra Zygula; Bartosz Kaczynski; Piotr Wegrzyn; Miroslaw Wielgos Journal: Biomed Res Int Date: 2015-08-27 Impact factor: 3.411