{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T08:58:03Z","timestamp":1790672283023,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n This study observes the influence of the immediate and delayed emergency cervical cerclage on the pregnancy outcomes of twin pregnancies with second\u2010trimester cervical dilatation.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n This multicenter retrospective cohort study included women with twin pregnancies who presented with cervical dilatation of 1 to 6\u2009cm at 16\n +0<\/jats:sup>\n to 27\n +6<\/jats:sup>\n weeks of gestation and underwent emergency cervical cerclage at three tertiary maternity units in China between January 1, 2015, and April 30, 2024. The primary outcomes were gestational age (GA) at delivery and the rates of spontaneous preterm birth (sPTB) before 28\u2009weeks and 32\u2009weeks. Logistic regression and Kaplan\n \u2013<\/jats:italic>\n Meier survival curves were used to evaluate the pregnancy outcomes between two groups: the group that underwent delayed emergency cervical cerclage (\n n\u2009=<\/jats:italic>\n \u200951) and the group that underwent immediate emergency cervical cerclage (\n n\u2009=<\/jats:italic>\n \u200952). \u201cDelayed\u201d referred to beyond 24\u2009h after the discovery of cervical dilation, while \u201cImmediate\u201d referred to within 24\u2009h.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Compared to the immediate surgery group, the delayed surgery group had a significantly longer GA at delivery (30.53\u2009\u00b1\u20094.02 vs. 28.66\u2009\u00b1\u20093.83\u2009weeks;\n P\u2009=<\/jats:italic>\n \u20090.018), and the rates of sPTB were significantly lower before 28\u2009weeks (29.4% vs. 50%; adjusted odds ratio 2.82; 95% confidence interval [CI] 1.07\u20137.44;\n P\u2009=<\/jats:italic>\n \u20090.037), and before 32\u2009weeks (60.8% vs. 78.8%; adjusted odds ratio 3.35; 95% CI 1.13\u20139.95;\n P\u2009=<\/jats:italic>\n \u20090.029).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This retrospective cohort study demonstrated that delayed emergency cervical cerclage following appropriate preoperative preconditioning was associated with improved pregnancy outcomes, compared with immediate emergency cervical cerclage. Further research is needed to confirm these findings.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/ijgo.71378","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T08:00:54Z","timestamp":1790668854000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pregnancy outcomes of immediate versus delayed emergency cervical cerclage in twin pregnancies with cervical dilatation: A multicenter retrospective cohort study"],"prefix":"10.1002","author":[{"given":"Xiaoli","family":"Li","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Women's Hospital, School of Medicine Zhejiang University Hangzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Lv","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Women's Hospital, School of Medicine Zhejiang University Hangzhou Zhejiang 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