{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T07:09:11Z","timestamp":1781680151557,"version":"3.54.5"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,10,22]],"date-time":"2013-10-22T00:00:00Z","timestamp":1382400000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To compare outcomes after emergency cerclage versus expectant management for prolapsed fetal membranes in women with cervical incompetency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2000\u2013<jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ecember 2012 hospital database was analyzed to identify women managed for prolapsed fetal membranes who did not have premature rupture of membranes, clinically discernible chorioamnionitis, or treatment\u2010resistant uterine contractions from 15 to 26\u2009weeks of gestation retrospectively. Durations of pregnancy prolongation and numbers of deliveries after 32 and 28\u2009weeks were compared between women undergoing emergency cervical cerclage and those receiving expectant management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifteen of the 35 women underwent emergency cervical cerclage (\u2018cerclage group\u2019), while the other 20 were managed expectantly (\u2018bedrest group\u2019). In the cerclage group, median gestational ages at procedure and delivery times were 22.6 (15.9\u201326.1) and 32.4 (19.4\u201341.6) weeks, respectively. Median gestational ages on admission and at delivery in the bedrest group were 23.4 (21.1\u201326.4) and 26.0 (23.1\u201336.4) weeks, respectively. The median duration of pregnancy prolongation was 44\u2009days (4\u2013165) in the cerclage group and 12.5\u2009days (2\u201393) in the bedrest group (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic>\u2009&lt;\u20090.01). Numbers of deliveries after 28 and 32\u2009weeks were both significantly higher in the cerclage than in the bedrest group (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In women with prolapsed fetal membranes but no signs of infection or painful uterine contractions, emergency cervical cerclage prolonged pregnancy duration as compared with expectant management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12207","type":"journal-article","created":{"date-parts":[[2013,10,22]],"date-time":"2013-10-22T08:05:43Z","timestamp":1382429143000},"page":"381-386","source":"Crossref","is-referenced-by-count":47,"title":["Emergency cerclage versus expectant management for prolapsed fetal membranes: A retrospective, comparative study"],"prefix":"10.1111","volume":"40","author":[{"given":"Shigeru","family":"Aoki","sequence":"first","affiliation":[{"name":"Perinatal Center for Maternity and Neonate Yokohama City University Medical Center  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emi","family":"Ohnuma","sequence":"additional","affiliation":[{"name":"Perinatal Center for Maternity and Neonate Yokohama City University Medical Center  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kentaro","family":"Kurasawa","sequence":"additional","affiliation":[{"name":"Perinatal Center for Maternity and Neonate Yokohama City University Medical Center  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mika","family":"Okuda","sequence":"additional","affiliation":[{"name":"Perinatal Center for Maternity and Neonate Yokohama City University Medical Center  Yokohama 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