Cerclage outcomes in singleton pregnancies at risk for preterm birth following assisted reproductive treatments

Cerclage outcomes of ART pregnancies

Authors

  • Gülnaz Şahin Ege University Family Planning and Infertility Research and Treatment Center
  • Ferruh Acet Family Planning and Infertility Research and Practice Center, Ege University, İzmir, Turkey
  • Ege Nazan Tavmergen Goker Family Planning and Infertility Research and Practice Center, Ege University, İzmir, Turkey
  • Erol Tavmergen Family Planning and Infertility Research and Practice Center, Ege University, İzmir, Turkey

DOI:

https://doi.org/10.46328/aejog.v3i3.108

Keywords:

cerclage, assisted reproductive technology, singleton pregnancy , preterm birth, cervical insufficiency

Abstract

Objective: We aimed to evaluate the obstetric and neonatal outcomes of singleton pregnancies at risk for preterm birth (PTB) following assisted reproductive treatments and underwent cervical cerclage placement.

Material and methods: A total of 42 women with singleton pregnancies following ART who underwent cerclage between 2009-2021 were included in this retrospective study.  Indications of the cerclage procedure, gestational age at cerclage placement and delivery, neonatal birthweight, and requirement for admission to the neonatal unit of newborns were evaluated.

Results: Of those cerclage placement performed in women with a history of second-trimester loss (19%), women with suspected cervical insufficiency according to pre-pregnancy evaluation (52.4%), women with the unicornuate uterus (4.8%), women with cervical shortening/or suspicious changes on ultrasonography (11.9%), and women with detection of cervical dilatation/shortening beyond 20 weeks of gestation (11.9%). Of the total group, 7.1% resulted in late miscarriages, while the remaining 92.9% ended with a live birth with mean gestational age at delivery of 37.0±2.5 weeks. Of those live births, 92.3% (36/39) delivered at >34 weeks and %74.4 (29/39) delivered at term. Except one neonatal death due to extremely PTB at 26th weeks, all infants were discharged from the hospital with well condition.

Conclusion: ART pregnancies are evaluated as a special group as having a higher PTB risk at baseline. Cerclage may be considered in broader indications for suspected cervical insufficiency in these pregnancies. There is need for further studies on the effectiveness of cerclage in these ART pregnancies with suspected cervical insufficiency based on different criterions used.

Downloads

Published

2021-12-22

How to Cite

1.
Şahin G, Acet F, Tavmergen Goker EN, Tavmergen E. Cerclage outcomes in singleton pregnancies at risk for preterm birth following assisted reproductive treatments: Cerclage outcomes of ART pregnancies . Aegean J Obstet Gynecol [Internet]. 2021 Dec. 22 [cited 2022 Sep. 26];3(3):78-82. Available from: https://aejog.com/index.php/aejog/article/view/108

Most read articles by the same author(s)