این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
Medical Journal of Islamic Republic of Iran، جلد ۱۹، شماره ۲، صفحات ۱۰۳-۱۰۷
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی ELECTIVE VERSUS ULTRASOUND –INDICATED CERVICAL CERCLAGE IN WOMEN AT RISK FOR CERVICAL INCOMPETENCE
چکیده انگلیسی مقاله  ABSTRACT Background: To compare pregnancy outcomes in women at risk for cervical incompetence after elective versus ultrasound- indicated cerclage. Methods: In a prospective randomized tlial, singleton pregnancies with at least one previous spontaneous midtrimester loss or early preterm delivery (between 15 and 32 weeks' gestation) who met clinical crite1ia for the diagnosis of cervical incompetence were allocated to receive either an elective cerclage (elective cerclage group) or serial transvaginal cervical sonography at rest and after trans fundal pressure every 2 weeks between 14 and 24 weeks'gestation, with cerclage only if indicated by cervical shortening (transvaginal sonography group). The Mann-Whitney U test, Chi- square and Fisher exact test were used for analysis of the data. Results: A total of97 patients were identified. Forty-five received elective cerclage and 52 were followed up with transvaginal sonography, of which 53.8% (28/52) required a cervical cerclage because of cervical changes. There were no significant differences in demographic characteristics and risk factors for cervical incompetence. The median gestational age at delivery [38 (range 17- 40) vs. 38 (range 19-40)weeks p= 0.90], the early losses before 25 weeks' gestation (8.8% vs. 9.6% p= 0.70) and preterm deliveries before 37 weeks'(20% vs. 25%p= 0.50) were similar in the elective cerclage group and transvaginal sonography group respectively. Conclusion: In women at risk for cervical incompetence, serial transvaginal cervical sonography, with cerclage only if indicated by cervical shortening, appears to be a safe a! ternati ve to traditional elective cerclage.
کلیدواژه‌های انگلیسی مقاله
نویسندگان مقاله ابوطالب بیگی | aboutaleb beigi
department of obstetrics and gynecology, a rash universitr hospital, tehran universitv ofmedical sciences, tehran, iran.


فریبا زرین کوب | fariba zarrinkoub
department of obstetrics and gynecology, a rash universitr hospital, tehran universitv ofmedical sciences, tehran, iran.
نشانی اینترنتی http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-272&slc_lang=en&sid=en
فایل مقاله فایلی برای مقاله ذخیره نشده است
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده 1
برگشت به: صفحه اول پایگاه   |   نسخه مرتبط   |   نشریه مرتبط   |   فهرست نشریات