{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:09:21Z","timestamp":1777907361019,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T00:00:00Z","timestamp":1648684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:p>We studied the indications, success rate, perinatal outcomes and maternal complications following mid-trimester emergency cervical cerclage. All women undergoing mid-trimester emergency cerclage at our centre during 2014\u20132019 were included in this retrospective study.<\/jats:p>\n                  <jats:p>There were 46 women in our cohort. Mean cervical length was 1.5\u2005cm (SD\u2009\u00b1\u20090.7), and 52.1% of them had bulging membranes. The mean gestational age at cerclage was 23.35 weeks (SD\u2009\u00b1\u20093.341). Three were loss to follow up.<\/jats:p>\n                  <jats:p>Out of 43 pregnancies (23 singletons and 20 twins) analyzed, 37\/43, 86.4% had livebirths. Success rate in the singletons and twins were 91.3% and 80% respectively. Maternal complications were seen in 56.5% of patients. Composite neonatal morbidity was significantly more in the twin group (p-value 0.04).<\/jats:p>\n                  <jats:p>Overall live birth rate was 86.4% with similar success rates in singleton and multiple pregnancies. Although, evidence for beneficial effect of prophylactic cerclage in multiple gestation is lacking, emergency cerclage may have a role in twin gestation.<\/jats:p>","DOI":"10.1177\/00494755221080590","type":"journal-article","created":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T02:45:04Z","timestamp":1648781104000},"page":"391-399","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["A retrospective study analyzing indications and outcomes of mid-trimester emergency cervical cerclage in a tertiary care perinatal centre over half a decade"],"prefix":"10.1177","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6597-3987","authenticated-orcid":false,"given":"Pushplata","family":"Kumari","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3931-3536","authenticated-orcid":false,"given":"Manish","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liji Sarah","family":"David","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reeta","family":"Vijayaselvi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bijesh","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6836-3890","authenticated-orcid":false,"given":"Manisha Madhai","family":"Beck","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,3,31]]},"reference":[{"key":"bibr1-00494755221080590","first-page":"1091","volume":"102","author":"American College of Obstericians and Gynecologists","journal-title":"Obstet Gynecol"},{"key":"bibr2-00494755221080590","doi-asserted-by":"publisher","DOI":"10.1515\/JPM.2008.083"},{"key":"bibr3-00494755221080590","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2006.09.002"},{"key":"bibr4-00494755221080590","doi-asserted-by":"publisher","DOI":"10.1053\/sper.2003.50005"},{"key":"bibr5-00494755221080590","doi-asserted-by":"publisher","DOI":"10.1542\/peds.106.4.659"},{"key":"bibr6-00494755221080590","first-page":"299","volume":"52","author":"Shirodkar VN","year":"1955","journal-title":"Antiseptic"},{"key":"bibr7-00494755221080590","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1957.tb02650.x"},{"key":"bibr8-00494755221080590","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/2065232"},{"key":"bibr9-00494755221080590","doi-asserted-by":"publisher","DOI":"10.1080\/14767050802613199"},{"key":"bibr10-00494755221080590","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/528158"},{"key":"bibr11-00494755221080590","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0000000000000197"},{"key":"bibr12-00494755221080590","doi-asserted-by":"crossref","unstructured":"Osemwenkha. 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