Multicenter randomized trial of cerclage for preterm birth prevention in high-risk women with shortened midtrimester cervical length
American Journal of Obstetrics and Gynecology, ISSN: 0002-9378, Vol: 201, Issue: 4, Page: 375.e1-375.e8
2009
- 434Citations
- 216Captures
- 3Mentions
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- Citations434
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- 423
- CrossRef294
- Policy Citations5
- Policy Citation5
- Clinical Citations3
- PubMed Guidelines3
- Patent Family Citations3
- Patent Families3
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- Mentions3
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A Randomized Trial of Pessary in Singleton Pregnancies With a Short Cervix; TOPS
STUDY INFORMATION OFFICIAL TITLE: A Randomized Trial of Pessary in Singleton Pregnancies With a Short Cervix CURRENT STATUS: Recruiting STUDY TYPE: Interventional SPONSOR AGENCY:The George
Article Description
The objective of the study was to assess cerclage to prevent recurrent preterm birth in women with short cervix. Women with prior spontaneous preterm birth less than 34 weeks were screened for short cervix and randomly assigned to cerclage if cervical length was less than 25 mm. Of 1014 women screened, 302 were randomized; 42% of women not assigned and 32% of those assigned to cerclage delivered less than 35 weeks ( P =.09). In planned analyses, birth less than 24 weeks ( P =.03) and perinatal mortality ( P =.046) were less frequent in the cerclage group. There was a significant interaction between cervical length and cerclage. Birth less than 35 weeks ( P =.006) was reduced in the less than 15 mm stratum with a null effect in the 15-24 mm stratum. In women with a prior spontaneous preterm birth less than 34 weeks and cervical length less than 25 mm, cerclage reduced previable birth and perinatal mortality but did not prevent birth less than 35 weeks, unless cervical length was less than 15 mm.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S0002937809009405; http://dx.doi.org/10.1016/j.ajog.2009.08.015; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=70349331275&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/19788970; https://linkinghub.elsevier.com/retrieve/pii/S0002937809009405
Elsevier BV
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