Study the role of cervical Cerclage for women with twin pregnancies

Abstract

Background: The role of first-trimester history-indicated cerclage among women with a twin pregnancy and a history of preterm birth have not been evaluated. Objectives; to evaluate the value of cervical cerclage in twin pregnancies as regard of Pregnancy outcome Patients and methods: This is a prospective cohort study was performed in Obstetrics and Gynecology Department Qena University Hospital, during a period from 1 march 2019 to 1 march 2020". Information about demographic data, medical history, reproductive history, current pregnancy and its complications and delivery and its outcomes are obtained.Clinical examinations, laboratory and ultrasonic assessment of studied group. Result:98 pregnant women involved in the study andgestational age at delivery of the studied group show that 11(11.2%) their gestational age at delivery was ranged between 12-Conclusion: History-indicated cervical cerclage performed in women with a twin gestation and a history of preterm birth appeared to have an overall positive effect on maternal and neonatal outcomes, as evidenced by significantly reduced rates of PPROM, preterm delivery and neonatal morbidity and mortality.

Keywords

• cervical cerclage; cervical insufficiency; history-indicated; multiple gestations; preterm delivery; twins