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P17.04: Factors for prevention of previable delivery following rescue cerclage
Author(s) -
Jung S.,
Kim S.,
Cho Y.,
Seo E.,
Kong S.,
Lee R.
Publication year - 2018
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.19751
Subject(s) - medicine , cervical cerclage , gestation , gestational age , confounding , pregnancy , obstetrics , retrospective cohort study , amniotic fluid , gynecology , surgery , fetus , biology , genetics
Pictures Twenty women delivered before 24+0 weeks gestation and 35 women delivered at or after 24weeks gestation. Gestational age at cerclage was earlier (20.4 vs 22.7 weeks, p=0.003) and latency period after cerclage (0.9 vs 10.2 weeks, p<0.001) was shorter in delivered before 24 weeks. Postoperative white blood cell (12755 vs 10230, p=0.006) and C-reactive protein (1.8 vs. 1.4, p=0.049) were elevated and cerclage height, length from cerclage stitch to internal os, was Conclusion Longer cervical height increases prolongation of pregnancy at least until 24 weeks significantly. Elevated postoperative Creactive protein and earlier diagnosed bulging amniotic membrane are associated with pre-viable birth. Table 1. Influencing factors to delivery at or after 24 weeks gestation following rescue cerclage