{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T15:39:38Z","timestamp":1792683578969,"version":"4.5.0"},"reference-count":0,"publisher":"The Scientific and Technological Research Council of Turkey (TUBITAK-ULAKBIM) - DIGITAL COMMONS JOURNALS","issue":"1","license":[{"start":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T00:00:00Z","timestamp":1739836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Turkish Journal of Medical Sciences"],"abstract":"<jats:p>Background\/aim: To evaluate the efficiency of cervical cerclage and pessary in addition to vaginal progesterone to prevent preterm birth in twin pregnanciesMaterials and methods: The presented retrospective case-control study was conducted on 46 twin pregnancies with cervical insufficiency and delivered at the xxx Hospital, January 2022-2024. Patients were grouped as the cervical cerclage in addition to vaginal progesterone (n=10), cervical pessary in addition to vaginal progesterone (n=11), and only vaginal progesterone (n=25). Patients\u2019 data were obtained from the hospital database. Obstetrical parameters (gravidity, parity, abortion, artificial reproductive technologies, second-trimester abortion) and ultrasound parameters (cervical length, intra-amniotic sludge) were recorded.  Gestational week at birth, latency period (diagnosis to delivery), and delivery after 34 weeks were evaluated for effectiveness. All parameters were compared between groups and evaluated for their effectiveness as an independent factor for preterm birth.Results: Primer effectiveness parameters; latency period, birth week and delivery after 34 weeks were not statistically different between groups. When the parameters were evaluated independently from groups for their effects on delivery after 34 weeks with multivariate regression analysis, having intra-amniotic sludge was found to be a negative independent factor for delivery after 34 weeks with a p-value of 0.03.Conclusion: Cervical cerclage or pessary, in addition to vaginal progesterone, had no additional benefit on birth over 34 gestational weeks. The only factor that had a negative effect on birth over 34 gestational weeks was the presence of intra-amniotic sludge. Our clinical experience with twin pregnancies may provide insight into treatment options for clinicians.<\/jats:p>","DOI":"10.55730\/1300-0144.5968","type":"journal-article","created":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T11:41:21Z","timestamp":1740483681000},"page":"271-276","source":"Crossref","is-referenced-by-count":0,"title":["Efficiency of cervical cerclage and pessary in addition to vaginal progesterone to prevent preterm birth in twin pregnancies: a case-control study from a tertiary center"],"prefix":"10.55730","volume":"55","author":[{"given":"G\u00d6KSUN","family":"\u0130PEK","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ATAKAN","family":"TANA\u00c7AN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ILIM","family":"DEMET","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ZAH\u0130D","family":"A\u011eAO\u011eLU","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"EZG\u0130","family":"BA\u015eARAN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6ZG\u00dcR","family":"KARA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D\u0130LEK","family":"\u015eAH\u0130N","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"34691","published-online":{"date-parts":[[2025,2,18]]},"container-title":["Turkish Journal of Medical Sciences"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T14:48:05Z","timestamp":1792680485000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.tubitak.gov.tr\/medical\/vol55\/iss1\/32"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,18]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,2,18]]}},"URL":"https:\/\/doi.org\/10.55730\/1300-0144.5968","relation":{},"ISSN":["1300-0144"],"issn-type":[{"value":"1300-0144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,18]]}}}