{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T01:35:48Z","timestamp":1777772148735,"version":"3.51.4"},"reference-count":40,"publisher":"Hamad bin Khalifa University Press (HBKU Press)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:p>Introduction: Preterm identification of cervical dilation in pregnant women leads to the application of emergency cervical cerclage with an expectation of achieving term delivery. However, this is not always feasible. Short- and long-term neonatal complications post-preterm birth pose a significant challenge. It is crucial to anticipate potential complications and understand the possibilities of postpartum development as they can be encountered.<\/jats:p>\n                  <jats:p>We aimed to evaluate the effect of the degree of cervical dilatation before ultrasound and physical examination-indicated cerclage in singleton pregnancies presenting with premature cervical dilatation with bulging fetal membranes (rescue cerclage) on subsequent neonatal outcomes.<\/jats:p>\n                  <jats:p>Materials and Methods: In this retrospective clinical study, over a 10-year period between January 2009 and January 2019, 72 singleton pregnancies undergoing rescue cerclage were included and divided into two groups according to pre-cerclage cervical dilatation: Group 1 (n = 33) and Group 2 (n\u00a0= 39) with cervical dilatation \u22643 cm and &gt;3 cm, respectively. Latency period for pregnancy prolongation, gestational age at delivery, birth weight, and neonatal morbidity and mortality were compared across the groups. Logistic regression was used to delineate the independent effect of cervical dilatation at cerclage placement on neonatal mortality.<\/jats:p>\n                  <jats:p>Results: Group 2 had a higher delivery rate at \u226428 weeks\u2019 gestation (p = 0.007) and lower birth weight (p = 0.002) compared to Group 1, with an increased mean latency period in Group 2 (90 \u00b1 55 days versus 52 \u00b1 54 days, p = 0.005). The newborn intensive care unit (NICU) requirement, respiratory distress syndrome (RDS), neonatal jaundice and sepsis, and retinopathy of prematurity (ROP) were more frequent in Group 2. Neonatal mortality rate was higher (52.6% versus 24.2%, p = 0.015) and intact survival was lower (23.1% versus 48.4%, p = 0.013) in Group 2, whereas rates of cerebral palsy (8% and 9%, respectively) were similar between the groups (p = 0.64).<\/jats:p>\n                  <jats:p>Conclusion: Advanced cervical dilatation (&gt;3 cm) during physical examination-indicated cerclage in singleton pregnancies is associated with earlier delivery, leading to increased neonatal morbidity and mortality when compared with pregnancies having lesser degrees of cervical dilatation at cerclage. However, short-term poor neurological outcomes seem comparable.<\/jats:p>","DOI":"10.5339\/qmj.2024.20","type":"journal-article","created":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T05:30:32Z","timestamp":1715059832000},"source":"Crossref","is-referenced-by-count":2,"title":["The association between the degree of cervical dilatation before ultrasound and physical examination indicated cerclage and subsequent neonatal outcomes"],"prefix":"10.5339","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2513-5297","authenticated-orcid":true,"given":"\u00dcmran K\u0131l\u0131n\u00e7demir","family":"Turgut","sequence":"first","affiliation":[{"name":"University of Health Sciences, Adana City Training and Research Center, Department of Obstetrics and Gynaecology-Perinatology, Adana, Turkey Email: umrankilincdemiritf@hotmail.com"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2677-1236","authenticated-orcid":true,"given":"Ebru","family":"Erdemo\u011flu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Suleyman Demirel University Faculty of Medicine, Isparta, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0950-0442","authenticated-orcid":true,"given":"Cem","family":"Da\u011fdelen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Suleyman Demirel University Faculty of Medicine, Isparta, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4670-2254","authenticated-orcid":true,"given":"Osman","family":"G\u00fcrdal","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Medical Informatics, Medical School, S\u00fcleyman Demirel University, Isparta, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9635-4617","authenticated-orcid":true,"given":"Mehmet Okan","family":"\u00d6zkaya","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Suleyman Demirel University Faculty of Medicine, Isparta, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6989-081X","authenticated-orcid":true,"given":"Mekin","family":"Sezik","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Suleyman Demirel University Faculty of Medicine, Isparta, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3277","reference":[{"issue":"(1):","key":"CIT0001","series-title":"Arch Dis Child Fetal Neonatal Ed","first-page":"F11-4","article-title":"Socioeconomic inequalities in very preterm birth rates","volume":"92","author":"Smith\n \nLK","year":"2007"},{"issue":"(4):","key":"CIT0002","series-title":"Pediatrics","first-page":"659-71","article-title":"The EPICure study: outcomes to discharge from hospital for infants born at the threshold of viability","volume":"106","author":"Costeloe\n \nK","year":"2000"},{"issue":"(3):","key":"CIT0003","series-title":"J Obstet Gynaecol Br Emp","first-page":"346-50","article-title":"Suture of the cervix for inevitable miscarriage","volume":"64","author":"McDonald\n \nIA","year":"1957"},{"issue":"(1):","key":"CIT0004","series-title":"Semin Perinatol","first-page":"73-85","article-title":"Current controversies in cervical cerclage","volume":"27","author":"Rand\n \nL","year":"2003"},{"issue":"(15):","key":"CIT0005","series-title":"J Matern Fetal Neonatal Med.","first-page":"2438-42","article-title":"Infant outcomes following midtrimester emergency cerclage in the presence of fully dilated cervix and prolapsing amniotic membranes into the vagina","volume":"29","author":"Ozgur Akkurt\n \nM","year":"2016;"},{"key":"CIT0006","series-title":"Med Sci Monit.","first-page":"1395-401","article-title":"Effects of emergency cervical cerclage on pregnancy outcome: a retrospective study of 158 cases","volume":"21","author":"Zhu\n \nLQ","year":"2015"},{"issue":"(10):","key":"CIT0007","series-title":"J Matern Fetal Neonatal Med","first-page":"1884-8","article-title":"Cervical dilation as a predictor of pregnancy outcome following emergency cerclage","volume":"25","author":"Fortner\n \nKB","year":"2012"},{"issue":"(2):","key":"CIT0008","series-title":"J Obstet Gynaecol Res","first-page":"381-6","article-title":"Emergency cerclage versus expectant management for prolapsed fetal membranes: a retrospective, comparative study","volume":"40","author":"Aoki\n \nS","year":"2014"},{"issue":"(1):","key":"CIT0009","series-title":"Eur J Obstet Gynecol Reprod Biol","first-page":"32-7","article-title":"Emergency cerclage versus bed rest for amniotic sac prolapse before 27 gestational weeks. A retrospective, comparative study of 161 women","volume":"139","author":"Stupin\n \nJH","year":"2008"},{"issue":"(3):","key":"CIT0010","series-title":"Gynecol Obstet Invest","first-page":"157-61","article-title":"Emergency cervical cerclage: relation between its success, preoperative serum level of C-reactive protein and WBC count, and degree of cervical dilatation","volume":"47","author":"Minakami\n \nH","year":"1999;"},{"key":"CIT0011","series-title":"J Inflamm Res.","first-page":"245-255","article-title":"The Association of Inflammatory Markers with Maternal-Neonatal Outcome After Cervical Cerclage","volume":"16","author":"Fang\n \nJ","year":"2023"},{"issue":"(3):","key":"CIT0012","series-title":"J Matern Fetal Neonatal Med","first-page":"269-73","article-title":"Pregnancy outcomes following placement of elective, urgent and emergent cerclage","volume":"22","author":"Nelson\n \nL","year":"2009"},{"issue":"(25):","key":"CIT0013","series-title":"J Matern Fetal Neonatal 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\nB","year":"2008"},{"issue":"(1):","key":"CIT0017","series-title":"Clin Experiment Ophthalmol","first-page":"93-99","article-title":"Incidence of retinopathy of prematurity in extremely premature infants over an 18-year period","volume":"40","author":"Gunn\n \nDJ","year":"2012;"},{"key":"CIT0018","series-title":"In: Seminars in Perinatology","first-page":"323-332","article-title":"The role of the obstetrician in the prevention of retinopathy of prematurity","volume":"Vol 43","author":"Kindinger\n \nLM","year":"2019:"},{"issue":"(3):","key":"CIT0019","series-title":"Am J Ophthalmol","first-page":"451-8","article-title":"Incidence of retinopathy of prematurity in the United States: 1997 through 2005","volume":"148","author":"Lad\n \nEM","year":"2009"},{"issue":"(4):","key":"CIT0020","series-title":"Disabil Rehabil","first-page":"183-91","article-title":"The epidemiology of cerebral palsy: incidence, impairments and risk factors","volume":"28","author":"Odding\n \nE","year":"2006"},{"issue":"(1):","key":"CIT0001","series-title":"Arch Dis Child Fetal Neonatal Ed","first-page":"F11-4","article-title":"Socioeconomic inequalities in very preterm birth rates","volume":"92","author":"Smith\n \nLK","year":"2007"},{"issue":"(4):","key":"CIT0002","series-title":"Pediatrics","first-page":"659-71","article-title":"The EPICure study: outcomes to discharge from hospital for infants born at the threshold of viability","volume":"106","author":"Costeloe\n \nK","year":"2000"},{"issue":"(3):","key":"CIT0003","series-title":"J Obstet Gynaecol Br Emp","first-page":"346-50","article-title":"Suture of the cervix for inevitable miscarriage","volume":"64","author":"McDonald\n \nIA","year":"1957"},{"issue":"(1):","key":"CIT0004","series-title":"Semin Perinatol","first-page":"73-85","article-title":"Current controversies in cervical cerclage","volume":"27","author":"Rand\n \nL","year":"2003"},{"issue":"(15):","key":"CIT0005","series-title":"J Matern Fetal Neonatal Med.","first-page":"2438-42","article-title":"Infant outcomes following midtrimester emergency cerclage in the presence of fully dilated cervix and prolapsing amniotic membranes into the vagina","volume":"29","author":"Ozgur Akkurt\n \nM","year":"2016;"},{"key":"CIT0006","series-title":"Med Sci Monit.","first-page":"1395-401","article-title":"Effects of emergency cervical cerclage on pregnancy outcome: a retrospective study of 158 cases","volume":"21","author":"Zhu\n \nLQ","year":"2015"},{"issue":"(10):","key":"CIT0007","series-title":"J Matern Fetal Neonatal Med","first-page":"1884-8","article-title":"Cervical dilation as a predictor of pregnancy outcome following emergency cerclage","volume":"25","author":"Fortner\n \nKB","year":"2012"},{"issue":"(2):","key":"CIT0008","series-title":"J Obstet Gynaecol Res","first-page":"381-6","article-title":"Emergency cerclage versus expectant management for prolapsed fetal membranes: a retrospective, comparative study","volume":"40","author":"Aoki\n \nS","year":"2014"},{"issue":"(1):","key":"CIT0009","series-title":"Eur J Obstet Gynecol Reprod Biol","first-page":"32-7","article-title":"Emergency cerclage versus bed rest for amniotic sac prolapse before 27 gestational weeks. A retrospective, comparative study of 161 women","volume":"139","author":"Stupin\n \nJH","year":"2008"},{"issue":"(3):","key":"CIT0010","series-title":"Gynecol Obstet Invest","first-page":"157-61","article-title":"Emergency cervical cerclage: relation between its success, preoperative serum level of C-reactive protein and WBC count, and degree of cervical dilatation","volume":"47","author":"Minakami\n \nH","year":"1999;"},{"key":"CIT0011","series-title":"J Inflamm Res.","first-page":"245-255","article-title":"The Association of Inflammatory Markers with Maternal-Neonatal Outcome After Cervical Cerclage","volume":"16","author":"Fang\n \nJ","year":"2023"},{"issue":"(3):","key":"CIT0012","series-title":"J Matern Fetal Neonatal Med","first-page":"269-73","article-title":"Pregnancy outcomes following placement of elective, urgent and emergent cerclage","volume":"22","author":"Nelson\n \nL","year":"2009"},{"issue":"(25):","key":"CIT0013","series-title":"J Matern Fetal Neonatal Med","first-page":"6267-6271","article-title":"The efficacy of therapeutic cervical cerclage in singleton pregnancies: a retrospective study","volume":"35","author":"Okuhara\n \nM","year":"2022"},{"key":"CIT0014","series-title":"Med Sci Monit.","first-page":"4202-4206","article-title":"Perinatal Outcomes After Emergency Cervical Cerclage for Cervical Insufficiency with Prolapsed Membranes","volume":"25","author":"Pang\n \nQ","year":"2019"},{"issue":"(9):","key":"CIT0015","series-title":"J Matern Fetal Neonatal Med","first-page":"1746-9","article-title":"The effect of second trimester emergency cervical cerclage on perinatal outcome","volume":"25","author":"Abo-Yaqoub\n \nS","year":"2012"},{"issue":"(9615):","key":"CIT0016","series-title":"Lancet","first-page":"813-20","article-title":"Neurodevelopmental disabilities and special care of 5-year-old children born before 33 weeks of gestation (the EPIPAGE study): a longitudinal cohort study","volume":"371","author":"Larroque\n \nB","year":"2008"},{"issue":"(1):","key":"CIT0017","series-title":"Clin Experiment Ophthalmol","first-page":"93-99","article-title":"Incidence of retinopathy of prematurity in extremely premature infants over an 18-year period","volume":"40","author":"Gunn\n \nDJ","year":"2012;"},{"key":"CIT0018","series-title":"In: Seminars in Perinatology","first-page":"323-332","article-title":"The role of the obstetrician in the prevention of retinopathy of prematurity","volume":"Vol 43","author":"Kindinger\n \nLM","year":"2019:"},{"issue":"(3):","key":"CIT0019","series-title":"Am J Ophthalmol","first-page":"451-8","article-title":"Incidence of retinopathy of prematurity in the United States: 1997 through 2005","volume":"148","author":"Lad\n \nEM","year":"2009"},{"issue":"(4):","key":"CIT0020","series-title":"Disabil Rehabil","first-page":"183-91","article-title":"The epidemiology of cerebral palsy: incidence, impairments and risk factors","volume":"28","author":"Odding\n \nE","year":"2006"}],"container-title":["Qatar Medical Journal"],"original-title":[],"link":[{"URL":"https:\/\/www.qscience.com\/view\/journals\/qmj\/2024\/1\/article-20.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.qscience.com\/downloadpdf\/journals\/qmj\/2024\/1\/article-20.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.qscience.com\/downloadpdf\/journals\/qmj\/2024\/1\/article-20.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T17:11:52Z","timestamp":1777309912000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.qscience.com\/view\/journals\/qmj\/2024\/1\/article-20.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":40,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.5339\/qmj.2024.20","relation":{},"ISSN":["2227-0426"],"issn-type":[{"value":"2227-0426","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024]]}}}