{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T01:47:04Z","timestamp":1782870424702,"version":"3.54.5"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:00:00Z","timestamp":1778198400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":54,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100002744","name":"Bar-Ilan University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002744","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Gynecol Obstet"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We aimed to evaluate the association between serial transvaginal cervical length measurements following McDonald cerclage and spontaneous preterm birth (PTB).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective study included singleton pregnancies with cerclage performed during 2010\u20132024. Cerclage was placed prophylactically (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009109) based on obstetric history, or emergently (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200946) due to ultrasound findings. Cervical length was measured by transvaginal ultrasound before and after cerclage, and at 2-week intervals until 32\u00a0weeks.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      For the prophylactic group, the median cervical length was shorter among those who delivered PTB\u2009&lt;\u200937\u00a0weeks (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200923) than term: at 21\u201322\u2009+\u20096\u00a0weeks (2.5 vs. 3.9\u00a0cm,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.042), 23\u201324\u2009+\u20096\u00a0weeks (2.0 vs. 3.4\u00a0cm,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.016), 25\u201326\u2009+\u20096\u00a0weeks (3.0 vs. 3.8\u00a0cm,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.042), and 31\u201332\u2009+\u20096\u00a0weeks (2.4 vs. 3.4\u00a0cm,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015). In multivariable analysis adjusted for history of PTB, progesterone use, and gestational age at cerclage placement, shorter cervical length, at 23\u201324\u2009+\u20096\u00a0weeks (adjusted odds ratio [aOR] 4.13, 95% confidence interval [CI] 1.23\u201313.89,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.021) and at 25\u201326\u2009+\u20096\u00a0weeks (aOR 3.39, 95% CI 1.08\u201310.64,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.037), was independently associated with PTB\u2009&lt;\u200937\u00a0weeks. Cervical length at 25\u201326\u2009+\u20096\u00a0weeks was associated with PTB\u2009&lt;\u200932\u00a0weeks (aOR 4.76, 95% CI 1.20\u201319.60,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.027). For the emergency group, the median cervical length was shorter among those who delivered\u2009&lt;\u200932\u00a0weeks than later, at 23\u201324\u2009+\u20096\u00a0weeks (1.4 vs. 3.2\u00a0cm,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.049) and 25\u201326\u00a0weeks (1.5 vs. 2.3\u00a0cm,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.041).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Serial cervical length monitoring after cerclage provides a clinically relevant prediction of spontaneous PTB.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00404-026-08453-9","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T01:44:38Z","timestamp":1778204678000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cervical length following cerclage as a predictor of spontaneous preterm birth"],"prefix":"10.1007","volume":"313","author":[{"given":"Maya Frank","family":"Wolf","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liron","family":"Kinog","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruba","family":"Tuma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lior","family":"Lowenstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marwan","family":"Odeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5270-8436","authenticated-orcid":false,"given":"Inshirah","family":"Sgayer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,8]]},"reference":[{"key":"8453_CR1","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1002\/ijgo.13195","volume":"150","author":"SR Walani","year":"2020","unstructured":"Walani SR (2020) Global burden of preterm birth. 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