{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:00:39Z","timestamp":1777726839959,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"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":["J Int Med Res"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To explore the association between the timing of cervical cerclage placement and postoperative outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed postoperative outcomes in pregnant women who underwent cervical cerclage at our hospital between January 2020 and December 2023. Participants were divided into nonterm and term birth groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared with the term birth group, the nonterm birth group had significantly shorter cervical length (10.02\u2009\u00b1\u20098.17 vs. 23.40\u2009\u00b1\u200910.93\u2009mm; p\u2009&lt;\u20090.001), wider cervical orifice width (7.50\u2009\u00b1\u200910.71 vs. 1.12\u2009\u00b1\u20094.79\u2009mm; p\u2009&lt;\u20090.001), longer duration of postoperative hospitalization (29.53\u2009\u00b1\u200922.76 vs. 18.12\u2009\u00b1\u200921.26 days; p\u2009&lt;\u20090.001), longer administration period of tocolytics (28.13\u2009\u00b1\u200922.26 vs. 16.15\u2009\u00b1\u200921.30 days; p\u2009&lt;\u20090.001), lower neonatal birth age (33.07\u2009\u00b1\u20093.27 vs. 38.32\u2009\u00b1\u20090.95 weeks; p\u2009&lt;\u20090.001), lower neonatal birth weight (2081.40\u2009\u00b1\u2009641.36 vs. 3266.30\u2009\u00b1\u2009352.76 g; p\u2009&lt;\u20090.001), and lower Apgar score at 1 minute (10 (3\u201310) vs. 10 (3\u201310); p\u2009&lt;\u20090.001). Cervical length showed higher sensitivity in determining the timing of cervical cerclage placement (area under the receiver operating characteristic curve: 0.830 vs. 0.669), with a cutoff value of 17\u2009mm (sensitivity: 83.33%, specificity: 71.43%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Cervical cerclage may be beneficial in asymptomatic pregnancies where the cervical length is \u226417\u2009mm or the cervix is undilated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605251367409","type":"journal-article","created":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T03:19:28Z","timestamp":1755746368000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between the timing of cervical cerclage placement and postoperative outcomes: A retrospective study"],"prefix":"10.1177","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4810-4688","authenticated-orcid":false,"given":"Lirong","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Zibo Maternal and Child Health Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xueli","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Zibo Maternal and Child Health Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xu","family":"Chen","sequence":"additional","affiliation":[{"name":"Ultrasonic Department, Zibo Maternal and Child Health Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yingchun","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Zibo Maternal and Child Health Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,20]]},"reference":[{"key":"e_1_3_9_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(18)30451-0"},{"key":"e_1_3_9_3_2","first-page":"e33006","article-title":"Preterm birth: an overview","volume":"14","author":"Khandre V","year":"2022","unstructured":"Khandre V, Potdar J, Keerti A. 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Cervical length at 16\u201322 weeks\u02bc gestation and risk for preterm delivery. Obstet Gynecol 2000; 96: 972\u2013978.","journal-title":"Obstet Gynecol"},{"key":"e_1_3_9_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2023.101211"},{"key":"e_1_3_9_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0000000000000044"},{"key":"e_1_3_9_17_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-8-200710160-00010"},{"key":"e_1_3_9_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15566"},{"key":"e_1_3_9_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.02.064"},{"key":"e_1_3_9_20_2","doi-asserted-by":"publisher","DOI":"10.3390\/jpm13121678"},{"key":"e_1_3_9_21_2","first-page":"CD009166","article-title":"Cervical stitch (cerclage) for preventing preterm birth in multiple pregnancy","volume":"2014","author":"Rafael TJ","year":"2014","unstructured":"Rafael TJ, Berghella V, Alfirevic Z. 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