{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T13:16:41Z","timestamp":1774617401503,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,11,1]],"date-time":"2016-11-01T00:00:00Z","timestamp":1477958400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp; Gyne"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine if cervical cerclage reduces the rate of spontaneous early preterm birth in cases of dichorionic\u2013diamniotic (DCDA) twin gestation with an ultrasound\u2010detected short cervix.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective cohort study of 40 consecutive DCDA twin gestations at Saint Peter's University Hospital from November 2006 to November 2014 in which cervical cerclage was performed for an ultrasound\u2010determined cervical length of 1\u201324 mm at 16\u201324 weeks' gestation. The cases were matched with 40 controls without cerclage for cervical length and gestational age at cervical assessment. The primary outcome measure was spontaneous birth &lt; 32 weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was no difference between the two groups in maternal age, body mass index (BMI), cigarette smoking, use of <jats:italic>in\u2010vitro<\/jats:italic> fertilization (IVF), parity and prior spontaneous preterm birth. There were more Caucasian women among the controls compared with cases. In the cases, compared with controls, spontaneous delivery &lt; 32 weeks was significantly less frequent (20.0% <jats:italic>vs<\/jats:italic> 50.0%; relative risk, 0.40 (95% CI, 0.20\u20130.80)). In the prediction of spontaneous delivery &lt; 32 weeks, logistic regression analysis demonstrated that the risk was reduced with the insertion of cervical cerclage (odds ratio, 0.22 (95% CI, 0.058\u20130.835); <jats:italic>P<\/jats:italic> = 0.026), corrected for maternal age, BMI, racial origin, cigarette smoking, IVF, parity and previous preterm birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In DCDA twin gestation with a short cervix, treatment with cervical cerclage may reduce the rate of early preterm birth. The findings suggest the need for adequate randomized controlled trials on cerclage in twin gestations with a short cervix. Copyright \u00a9 2016 ISUOG. Published by John Wiley &amp; Sons Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/uog.15918","type":"journal-article","created":{"date-parts":[[2016,3,19]],"date-time":"2016-03-19T01:52:04Z","timestamp":1458352324000},"page":"752-756","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["Cervical cerclage for preterm birth prevention in twin gestation with short cervix: a retrospective cohort study"],"prefix":"10.1002","volume":"48","author":[{"given":"C.","family":"Houlihan","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Saint Peter's University Hospital (SPUH)  New Brunswick NJ USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. C. Y.","family":"Poon","sequence":"additional","affiliation":[{"name":"Harris Birthright Research Centre for Fetal Medicine King's College Hospital  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Ciarlo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Saint Peter's University Hospital (SPUH)  New Brunswick NJ USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Saint Peter's University Hospital (SPUH)  New Brunswick NJ USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. R.","family":"Guzman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Saint Peter's University Hospital (SPUH)  New Brunswick NJ USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. H.","family":"Nicolaides","sequence":"additional","affiliation":[{"name":"Harris Birthright Research Centre for Fetal Medicine King's College Hospital  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,11]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"Office for National Statistics. Gestation\u2010specific infant mortality 2012.http:\/\/www.ons.gov.uk\/ons\/rel\/child\u2010health\/gestation\u2010specific\u2010infant\u2010mortality\u2010in\u2010England and Wales\/2012\/stb\u2010gestation\u2010specific\u2010infant\u2010mortality\u20102012.html[Accessed 5 April 2015]."},{"key":"e_1_2_5_3_1","unstructured":"Office for National Statistics. 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