{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T20:29:36Z","timestamp":1768681776736,"version":"3.49.0"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"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;amp; Gyne"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess whether the cannula insertion site on the maternal abdomen during fetal endoscopic tracheal occlusion (FETO) for congenital diaphragmatic hernia (CDH) was associated with preterm prelabor rupture of membranes (PPROM) before balloon removal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a multicenter retrospective study of consecutive pregnancies with isolated left\u2010 or right\u2010sided CDH that underwent FETO in four centers between January 2009 and January 2021. The site for balloon insertion was categorized as above or below the umbilicus. One propensity score was analyzed in both groups to calculate an average treatment effect (ATE) by inverse probability of treatment weighting. Logistic regression and Cox proportional hazard regression including the ATE weights were performed to examine the effect size of entry point on the frequency and timing of PPROM before balloon removal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 294 patients were included. The mean\u2009\u00b1\u2009SD gestational age at PPROM was 33.45\u2009\u00b1\u20092.01\u2009weeks and the mean rate of PPROM before balloon removal was 25.9% (76\/294). Gestational age at FETO was later in the below\u2010umbilicus group (mean\u2009\u00b1\u2009SD, 29.47\u2009\u00b1\u20091.29\u2009weeks <jats:italic>vs<\/jats:italic> 29.00\u2009\u00b1\u20091.25\u2009weeks; <jats:italic>P<\/jats:italic>\u2009=\u20090.002) and the duration of FETO was longer in the above\u2010umbilicus group (median, 14.49\u2009min (interquartile range (IQR), 8.00\u201321.00\u2009min) <jats:italic>vs<\/jats:italic> 11.00\u2009min (IQR, 7.00\u201314.49\u2009min); <jats:italic>P<\/jats:italic>\u2009=\u20090.002). After balancing for possible confounding factors, trocar entry point below the umbilicus did not increase the risk of PPROM before balloon removal (adjusted odds ratio, 1.56 (95%\u2009CI, 0.89\u20132.74); <jats:italic>P<\/jats:italic>\u2009=\u20090.120) and had no effect on the timing of PPROM before balloon removal (adjusted hazard ratio, 1.56 (95%\u2009CI, 0.95\u20132.55); <jats:italic>P<\/jats:italic>\u2009=\u20090.080).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There was no evidence that uterine entry site for FETO was correlated with the risk of PPROM before balloon removal. \u00a9 2023 International Society of Ultrasound in Obstetrics and Gynecology.<\/jats:p><\/jats:sec>","DOI":"10.1002\/uog.27548","type":"journal-article","created":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T14:25:15Z","timestamp":1701786315000},"page":"529-535","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Effect of cannula insertion site during fetal endoscopic tracheal occlusion for congenital diaphragmatic hernia on preterm prelabor rupture of membranes"],"prefix":"10.1002","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6006-8408","authenticated-orcid":false,"given":"A.\u2010G.","family":"Cordier","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Antoine B\u00e9cl\u00e8re Hospital Paris Saclay University  APHP, Clamart France"},{"name":"Centre de R\u00e9f\u00e9rence Maladie Rare, Hernie de Coupole Diaphragmatique  Clamart France"},{"name":"Sorbonne Universit\u00e9, APHP, Tenon Hospital  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. A.","family":"Badr","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University Hospital Brugmann, Universit\u00e9 Libre de Bruxelles, Vrije Universiteit Brussel  Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Basurto","sequence":"additional","affiliation":[{"name":"Clinical Department of Obstetrics and Gynecology University Hospitals Leuven  Leuven Belgium"},{"name":"Academic Department of Development and Regeneration Cluster Woman and Child, KU Leuven  Leuven Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Russo","sequence":"additional","affiliation":[{"name":"Clinical Department of Obstetrics and Gynecology University Hospitals Leuven  Leuven Belgium"},{"name":"Academic Department of Development and Regeneration Cluster Woman and Child, KU Leuven  Leuven Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4920-945X","authenticated-orcid":false,"given":"J.","family":"Deprest","sequence":"additional","affiliation":[{"name":"Clinical Department of Obstetrics and Gynecology University Hospitals Leuven  Leuven Belgium"},{"name":"Academic Department of Development and Regeneration Cluster Woman and Child, KU Leuven  Leuven Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Orain","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Antoine B\u00e9cl\u00e8re Hospital Paris Saclay University  APHP, Clamart France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7379-9608","authenticated-orcid":false,"given":"E.","family":"Eixarch","sequence":"additional","affiliation":[{"name":"BCNatal\u00a0\u2013\u00a0Barcelona Center for Maternal\u2013Fetal and Neonatal Medicine (Hospital Cl\u00ednic and Hospital Sant Joan de Deu), Institut d'Investigacions Biomediques August Pi i Sunyer University of Barcelona  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Otano","sequence":"additional","affiliation":[{"name":"BCNatal\u00a0\u2013\u00a0Barcelona Center for Maternal\u2013Fetal and Neonatal Medicine (Hospital Cl\u00ednic and Hospital Sant Joan de Deu), Institut d'Investigacions Biomediques August Pi i Sunyer University of Barcelona  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Gratacos","sequence":"additional","affiliation":[{"name":"BCNatal\u00a0\u2013\u00a0Barcelona Center for Maternal\u2013Fetal and Neonatal Medicine (Hospital Cl\u00ednic and Hospital Sant Joan de Deu), Institut d'Investigacions Biomediques August Pi i Sunyer University of Barcelona  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Moraes De Luna Freire Vargas","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medical Sciences State University of Campinas  Campinas Brazil"},{"name":"Fetal Medicine Unit, The Heart Hospital  S\u00e3o Paulo Brazil"},{"name":"Gestar Fetal Medicine and Surgery Center  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7279-5311","authenticated-orcid":false,"given":"C. 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