Cervical cerclage application algorithm in continued cervical shortening cases despite vaginal progesterone

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dc.authoridBertan Akar / 0000-0003-0494-6867
dc.authorscopusidBertan Akar / 56439873300
dc.authorwosidBertan Akar / CCD-2869-2022
dc.contributor.authorAkar, Bertan
dc.contributor.authorCeylan, Yasin
dc.contributor.authorKaradağ, Cihan
dc.contributor.authorÇalışkan, Eray
dc.date.accessioned2020-12-25T08:19:11Z
dc.date.available2020-12-25T08:19:11Z
dc.date.issued2021en_US
dc.departmentİstinye Üniversitesi, Sağlık Bilimleri Fakültesi, Ebelik Bölümüen_US
dc.description.abstractObjective: The aim of this study is evaluation of pregnancy outcomes of the asymptomatic cases with vaginal progesterone treatment for the 20?30 mm cervical length detected in the transvaginal ultrasonography for fetal abnormality screening and cervical cerclage after cervical length detected <20 mm in weekly cervical length measures; and present the treatment algorithm of progesterone treatment combined with cervical cerclage application. Methods: Patients who have the inclusion criteria and cervical length more than 30 mm were categorized as group 1(n = 1948). Group 2 were included patients with cervical length shorter than 30 mm (n = 95). All patients of group 2 started to use vaginal natural progesterone 400 mg/day(n = 87). Pregnancies which progressed with cervical length above 20 mm were continued vaginal progesterone until 34. Gestational week and they were named as group 2A (n = 78). Cervical cerclage were applied to patients with cervical length below than 20 mm measured via transvaginal ultrasonography and they were categorized as group 2B (n = 9). Results: Excluding 8 cases (8.42 %) which cervical cerclage were applied, 87 patients were administered vaginal progesterone and in 9 cases (10.34 %) cervical shortening were continued despite progesterone treatment. Four out of these nine cases (44.44 %) had cervical cerclage and their deliveries were delayed after 34 th gestational week. Vaginal progesterone treatment prevented cervical shortening in 89.66 % of patients who had cervical length between 20?30 mm and out of these patients. Conclusion: Cervical cerclage application algorithm in continued cervical shortening cases despite vaginal progesterone is beneficial to delay the delivery after 34 th gestational week and related to low complication rate.en_US
dc.identifier.citationAkar, B., Ceylan, Y., Karadağ, C., & Çalışkan, E. (2020). Cervical cerclage application algorithm in continued cervical shortening cases despite vaginal progesterone. Journal of Gynecology Obstetrics and Human Reproduction, 50(3), 101989.en_US
dc.identifier.doi10.1016/j.jogoh.2020.101989en_US
dc.identifier.issn2468-7847en_US
dc.identifier.issue3en_US
dc.identifier.pmid33217604en_US
dc.identifier.scopus2-s2.0-85097768699en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://www.doi.org/10.1016/j.jogoh.2020.101989
dc.identifier.urihttps://hdl.handle.net/20.500.12713/1291
dc.identifier.volume50en_US
dc.identifier.wosWOS:000639266600020en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAkar, Bertan
dc.language.isoenen_US
dc.publisherElsevier Masson s.r.l.en_US
dc.relation.ispartofJournal of Gynecology Obstetrics and Human Reproductionen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCervical Cerclageen_US
dc.subjectPreterm Birthen_US
dc.subjectPreterm Labouren_US
dc.subjectVaginal Progesteroneen_US
dc.titleCervical cerclage application algorithm in continued cervical shortening cases despite vaginal progesteroneen_US
dc.typeArticleen_US

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