{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:34:43Z","timestamp":1740126883955,"version":"3.37.3"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective To evaluate the impact of preoperative cervical length on\n                    pregnancy outcome in monochorionic diamniotic twin pregnancies complicated by\n                    twin-twin transfusion syndrome that underwent laser surgery or cord\n                    occlusion.<\/jats:p><jats:p>\n          Materials and Methods Retrospective study of 330 patients stratified by\n                    preoperative cervical length (\u226525\u2009mm,\n                    16\u201324\u2009mm,\u226415\u2009mm). Maternal characteristics,\n                    operative data, and pregnancy outcomes were compared between the cervical length\n                    groups as well as between the subgroups of patients with a cervical\n                    length\u226415\u2009mm according to management (expectant vs.\n                    cerclage).<\/jats:p><jats:p>\n          Results A preoperative cervical length\u226525\u2009mm was observed\n                    in 82% (n=271) of cases, 16\u201324\u2009mm in 9%\n                    (n=29), and\u226415\u2009mm in 9% (n=30). Patients\n                    with a preoperative cervical length\u226415\u2009mm showed shorter median\n                    procedure-to-delivery interval (5.5 weeks vs. 11.6 (16\u201324\u2009mm)\n                    vs. 13.0 (\u226525\u2009mm); p&lt;0.001); lower median gestational\n                    age at delivery (29.5 weeks vs. 34.3 (16\u201324\u2009mm) vs. 33.4\n                    (\u226525\u2009mm); p&lt;0.001); higher rate of preterm\n                    delivery&lt;32 weeks (78 vs. 20% (16\u201324\u2009mm) vs.\n                    31% (\u226525\u2009mm); p&lt;0.001); and lower neonatal\n                    survival rate of at least one twin (70 vs. 88%\n                    (16\u201324\u2009mm) vs. 93% (\u226525\u2009mm);\n                    p&lt;0.001). Outcome of patients with a preoperative cervical\n                    length\u226415\u2009mm was similar regardless of management.<\/jats:p><jats:p>\n          Conclusion Monochorionic diamniotic twin pregnancies complicated by\n                    twin-twin transfusion syndrome with a preoperative cervical\n                    length\u226415\u2009mm showed a higher rate of preterm delivery&lt;32\n                    weeks and lower neonatal survival. The role of a cervical cerclage remains\n                    unclear.<\/jats:p>","DOI":"10.1055\/a-1812-5608","type":"journal-article","created":{"date-parts":[[2022,5,11]],"date-time":"2022-05-11T23:02:21Z","timestamp":1652310141000},"page":"245-250","source":"Crossref","is-referenced-by-count":1,"title":["Impact of Preoperative Cervical Length on Pregnancy Outcome in\n                    Twin-Twin Transfusion Syndrome"],"prefix":"10.1055","volume":"226","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9543-9806","authenticated-orcid":false,"given":"Javier U.","family":"Ortiz","sequence":"additional","affiliation":[{"name":"University of Barcelona, Institut d\u2019Investigations\n                    Biom\u00e8diques August Pi i Sunyer (IDIBAPS), and Centre for Biomedical\n                    Research on Rare Diseases (CIBER-ER), BCNatal | Fetal Medicine Research\n                    Center (Hospital Cl\u00ednic and Hospital Sant Joan de D\u00e9u),\n                    Barcelona, Spain"},{"name":"University Hospital rechts der Isar, Technical University of Munich,\n                    Division of Obstetrics and Perinatal Medicine, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisenda","family":"Eixarch","sequence":"additional","affiliation":[{"name":"University of Barcelona, Institut d\u2019Investigations\n                    Biom\u00e8diques August Pi i Sunyer (IDIBAPS), and Centre for Biomedical\n                    Research on Rare Diseases (CIBER-ER), BCNatal | Fetal Medicine Research\n                    Center (Hospital Cl\u00ednic and Hospital Sant Joan de D\u00e9u),\n                    Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Talita","family":"Micheletti","sequence":"additional","affiliation":[{"name":"University of Barcelona, Institut d\u2019Investigations\n                    Biom\u00e8diques August Pi i Sunyer (IDIBAPS), and Centre for Biomedical\n                    Research on Rare Diseases (CIBER-ER), BCNatal | Fetal Medicine Research\n                    Center (Hospital Cl\u00ednic and Hospital Sant Joan de D\u00e9u),\n                    Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia M.","family":"Lobmaier","sequence":"additional","affiliation":[{"name":"University of Barcelona, Institut d\u2019Investigations\n                    Biom\u00e8diques August Pi i Sunyer (IDIBAPS), and Centre for Biomedical\n                    Research on Rare Diseases (CIBER-ER), BCNatal | Fetal Medicine Research\n                    Center (Hospital Cl\u00ednic and Hospital Sant Joan de D\u00e9u),\n                    Barcelona, Spain"},{"name":"University Hospital rechts der Isar, Technical University of Munich,\n                    Division of Obstetrics and Perinatal Medicine, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar","family":"Bennasar","sequence":"additional","affiliation":[{"name":"University of Barcelona, Institut d\u2019Investigations\n                    Biom\u00e8diques August Pi i Sunyer (IDIBAPS), and Centre for Biomedical\n                    Research on Rare Diseases (CIBER-ER), BCNatal | Fetal Medicine Research\n                    Center (Hospital Cl\u00ednic and Hospital Sant Joan de D\u00e9u),\n                    Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josep M.","family":"Martinez","sequence":"additional","affiliation":[{"name":"University of Barcelona, Institut d\u2019Investigations\n                    Biom\u00e8diques August Pi i Sunyer (IDIBAPS), and Centre for Biomedical\n                    Research on Rare Diseases (CIBER-ER), BCNatal | Fetal Medicine Research\n                    Center (Hospital Cl\u00ednic and Hospital Sant Joan de D\u00e9u),\n                    Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduard","family":"Gratac\u00f3s","sequence":"additional","affiliation":[{"name":"University of Barcelona, Institut d\u2019Investigations\n                    Biom\u00e8diques August Pi i Sunyer (IDIBAPS), and Centre for Biomedical\n                    Research on Rare Diseases (CIBER-ER), BCNatal | Fetal Medicine Research\n                    Center (Hospital Cl\u00ednic and Hospital Sant Joan de D\u00e9u),\n                    Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,5,11]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1159\/000342751","article-title":"A systematic approach to the differential diagnosis and management of the\n                    complications of monochorionic twin pregnancies","volume":"32","author":"E Gratac\u00f3s","year":"2012","journal-title":"Fetal 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Beck","year":"2012","journal-title":"Fetal Diagn Ther"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1159\/000336227","article-title":"Fetal and maternal complications after selective fetoscopic laser surgery for\n                    twin-to-twin transfusion syndrome: a single-center experience","volume":"31","author":"M A Rustico","year":"2012","journal-title":"Fetal Diagn Ther"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.ajog.2009.07.046","article-title":"Incidence of complications in twin-twin transfusion syndrome after selective\n                    fetoscopic laser photocoagulation: a single-center experience","volume":"201","author":"M Habli","year":"2009","journal-title":"Am J Obstet Gynecol"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"1458","DOI":"10.1067\/mob.2000.106851","article-title":"Patients with an ultrasonographic cervical length<or=15 mm have\n                    nearly a 50% risk of early spontaneous preterm delivery","volume":"182","author":"S S Hassan","year":"2000","journal-title":"Am J Obstet Gynecol"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"1596","DOI":"10.1067\/mob.2002.127380","article-title":"Cervical length and funneling at 22 and 27 weeks to predict spontaneous birth\n                    before 32 weeks in twin pregnancies: a French prospective multicenter study","volume":"187","author":"C Vayssiere","year":"2002","journal-title":"Am J Obstet Gynecol"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.1067\/mob.2000.108896","article-title":"Use of cervical ultrasonography in prediction of spontaneous preterm birth in\n                    twin gestations","volume":"183","author":"E R Guzman","year":"2000","journal-title":"Am J Obstet Gynecol"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1515\/jpm-2013-0115","article-title":"Sonographic measurement of cervical length as a predictor of preterm delivery: a\n                    systematic review","volume":"42","author":"J Barros-Silva","year":"2014","journal-title":"J Perinat Med"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"58e1","DOI":"10.1016\/j.ajog.2010.08.032","article-title":"Clinical and biochemical predictors of very preterm birth in twin-to-twin\n                    transfusion syndrome treated by fetoscopy","volume":"204","author":"T Cobo","year":"2011","journal-title":"Am J Obstet Gynecol"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1002\/uog.15972","article-title":"Preterm delivery after fetoscopic laser surgery for twin-twin transfusion\n                    syndrome: etiology and risk factors","volume":"49","author":"A Malsche","year":"2017","journal-title":"Ultrasound Obstet Gynecol"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1002\/uog.1798","article-title":"Cervical length as prognostic factor for preterm delivery in twin-to-twin\n        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    surgery","volume":"54","author":"E P Bergh","year":"2019","journal-title":"Ultrasound Obstet Gynecol"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1159\/000491787","article-title":"Long-term neurodevelopmental outcome of monochorionic twins after laser therapy\n                    or umbilical cord occlusion for twin-twin transfusion syndrome","volume":"46","author":"K V Schou","year":"2019","journal-title":"Fetal Diagn Ther"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1002\/pd.5726","article-title":"Neurodevelopmental impairment at 3 years of age after fetoscopic laser surgery\n                    for twin-to-twin transfusion syndrome","volume":"40","author":"S Matsushima","year":"2020","journal-title":"Prenat Diagn"}],"container-title":["Zeitschrift f\u00fcr Geburtshilfe und Neonatologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1812-5608.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,23]],"date-time":"2022-08-23T23:43:51Z","timestamp":1661298231000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1812-5608"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,11]]},"references-count":30,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2022,8,23]]},"published-print":{"date-parts":[[2022,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1812-5608","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0948-2393","1439-1651"],"issn-type":[{"type":"print","value":"0948-2393"},{"type":"electronic","value":"1439-1651"}],"subject":[],"published":{"date-parts":[[2022,5,11]]}}}