{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:23:39Z","timestamp":1787235819013,"version":"build-2736575974"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T00:00:00Z","timestamp":1741651200000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To compare the safety and efficacy of ultrasound\u2010 and physical examination\u2010indicated cervical cerclage in twin versus singleton gestations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study of all ultrasound\u2010indicated (cervical length\u2009\u2264\u200925\u2009mm) and physical examination\u2010indicated cerclage cases performed over a 9\u2010year period. The primary outcome was the time interval from cerclage placement to delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study cohort included 94 singleton and 16 twin pregnancies. The time interval from cerclage placement to delivery was comparable in singleton and twin gestations (14.77 vs. 12.07\u2009weeks,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.11), as were the rates of preterm births before 28 and 32\u2009weeks. The rate of alive newborns &gt;24\u2009weeks was lower in the twin group (71.9% vs. 88.3%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.028). Regression analysis identified that cervical dilation, but not twin gestation, was the only factor independently associated with an increased risk for birth before 32\u2009weeks.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Ultrasound\u2010indicated and physical examination\u2010indicated cerclage had comparable efficacy in prolonging pregnancy in twin and singleton gestations, though live birth rates were lower in twins.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jog.16263","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T04:58:50Z","timestamp":1741755530000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Ultrasound\u2010indicated and physical examination\u2010indicated cervical cerclage in twin versus singleton gestations"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9594-5343","authenticated-orcid":false,"given":"Daphna","family":"Amitai Komem","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Sheba Medical Center, Tel\u2010Hashomer Affiliated to Sackler School of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0720-4343","authenticated-orcid":false,"given":"Raanan","family":"Meyer","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Sheba Medical Center, Tel\u2010Hashomer Affiliated to Sackler School of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Itai","family":"Yagel","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Sheba Medical Center, Tel\u2010Hashomer Affiliated to Sackler School 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