Physical Exam-Indicated Cervical Cerclage Versus Expectant Management for Twin Pregnancies

2018 ◽  
Vol 40 (6) ◽  
pp. 837-838
Author(s):  
Mehdiya Hemani ◽  
Elizabeth Markowski ◽  
Michelle Morais
Keyword(s):  
Expectant Management ◽  
Physical Exam ◽  
Cervical Cerclage ◽  
Twin Pregnancies

scholarly journals Successful treatment with home care during the second half of a twin pregnancy complicated by a short cervix: A case report

2018 ◽  
Vol 5 (02) ◽  
pp. 2045-2049
Author(s):  
Mohammad Zarei ◽  
Tahereh Zahedifard ◽  
Reza Nori
Keyword(s):  
Twin Pregnancy ◽  
Expectant Management ◽  
Bed Rest ◽  
Cervical Length ◽  
Premature Delivery ◽  
Cervical Cerclage ◽  
Short Cervix ◽  
Case Presentation ◽  
Twin Pregnancies ◽  
Safe Approach

Introduction: Twin pregnancies are associated with a risk of premature delivery. Case presentation: A 34-year-old primiparous female patient with twin pregnancy presented in the 26th week of pregnancy with a cervical length of 11 mm, with prolapse of membranes. The patient received specialized bed rest and support, and the pregnancy was successfully completed at 36 weeks and 5 days. Conclusion: In the second half of the pregnancy, due to the risk of emergency cervical cerclage, expectant management seems an appropriate and safe approach.

Twin Pregnancies Complicated by a Single Malformed Fetus: Chorionicity, Outcome and Management

2010 ◽  
Vol 13 (5) ◽  
pp. 501-507 ◽  
Author(s):  
Ali Gedikbasi ◽  
Alpaslan Akyol ◽  
Gokhan Yildirim ◽  
Ali Ekiz ◽  
Ahmet Gul ◽  
...  
Keyword(s):  
Gestational Age ◽  
Statistical Significance ◽  
Expectant Management ◽  
Control Group ◽  
Study Group ◽  
Preliminary Evaluation ◽  
Gestational Age At Birth ◽  
The Impact ◽  
Twin Pregnancies ◽  
Age At Birth

The objective of this study was to evaluate the impact of one abnormal fetus in a twin pregnancy, to compare impact of chorionicity and clinical outcome of intervention and expectant management. Thirty-seven dichorionic (DC) twins and 18 monochorionic (MC) twins complicated with one malformed fetus were evaluated for gestational age, birthweight and perinatal outcome. Six hundred and forty-two twin pregnancies were evaluated in the database. The control groups consisted of 429 DC and 86 MC twins without anomalous fetus. Mean birthweight and gestational age at birth for DC control group were (n= 429; 2137g and 34.71 weeks), DC study group,n= 37; 2117g (p= .338) and 33.97 weeks (p= .311), and DC study group with major malformations,n= 30; 2019g (p= .289) and 33.3 weeks (p= .01), and showed only significance for gestational age. There was no statistical significance between MC control group,n= 86; 2097g and 34.93 weeks, and MC study group,n= 18; 2237g (p= .338), and 34.42 weeks (p= .502). Because of limited data, the preliminary evaluation for expectant management and intervention, and survival of at least one normal fetus showed no impact. We conclude that, although, all DC twin pregnancies have a risk for preterm delivery, DC twins complicated with major malformation of one twin, have a lower mean gestational age at birth. Preliminary results for intervention does not improve fetal outcome for DC and MC twins and needs further evaluation with greater studies of impact or review.

Cervical cerclage compared to expectant management in women with a dilated cervix in the 2nd trimester: Results from the GNPRH international cohort study

2005 ◽  
Vol 193 (6) ◽  
pp. S128
Author(s):  
Leonardo Pereira ◽  
Amanda Cotter ◽  
Vincenzo Berghella ◽  
Ricardo Gomez ◽  
Witoon Prasertcharoensuk ◽  
...  
Keyword(s):  
Cohort Study ◽  
Expectant Management ◽  
Cervical Cerclage

scholarly journals Cervical cerclage in twin pregnancies

2020 ◽  
Vol 59 (6) ◽  
pp. 991
Author(s):  
Qiong Wang ◽  
FengXiang Yao ◽  
ShengKun Zhang
Keyword(s):  
Cervical Cerclage ◽  
Twin Pregnancies

Cervical cerclage in twin pregnancies

2013 ◽  
Vol 288 (2) ◽  
pp. 267-271 ◽  
Author(s):  
Cristina Zanardini ◽  
Giorgio Pagani ◽  
Anna Fichera ◽  
Federico Prefumo ◽  
Tiziana Frusca
Keyword(s):  
Cervical Cerclage ◽  
Twin Pregnancies
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