Turkish Journal of Medical Sciences
Abstract
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’ 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.
Author ORCID Identifier
GÖKSUN İPEK: 0000-0001-8663-8053
ATAKAN TANAÇAN: 0000-0001-8209-8248
ILIM DEMET: 0009-0003-3326-2197
ZAHİD AĞAOĞLU: 0000-0001-8726-1075
EZGİ BAŞARAN: 0000-0002-5062-3316
ÖZGÜR KARA: 0000-0002-4204-0014
DİLEK ŞAHİN: 0000-0001-8567-9048
DOI
10.55730/1300-0144.5968
Keywords
cerclage, cervical insufficiency, Pessary, preterm birth, twin pregnancy
First Page
271
Last Page
276
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
İPEK, GÖKSUN; TANAÇAN, ATAKAN; DEMET, ILIM; AĞAOĞLU, ZAHİD; BAŞARAN, EZGİ; KARA, ÖZGÜR; and ŞAHİN, DİLEK
(2025)
"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,"
Turkish Journal of Medical Sciences: Vol. 55:
No.
1, Article 32.
https://doi.org/10.55730/1300-0144.5968
Available at:
https://journals.tubitak.gov.tr/medical/vol55/iss1/32
