Research progress on cervical cerclage for preventing preterm birth in twin pregnancies
10.3760/cma.j.cn113903-20230910-00192
- VernacularTitle:宫颈环扎与双胎早产防治的研究进展
- Author:
Peili WU
1
;
Qing XUE
;
Xuanxuan LIU
;
Xiao SUN
Author Information
1. 北京大学第一医院妇产生殖医学中心，北京 100034
- Keywords:
Pregnancy, twin;
Premature birth;
Cerclage, cervical;
Chorioamnionitis
- From:
Chinese Journal of Perinatal Medicine
2024;27(3):258-261
- CountryChina
- Language:Chinese
-
Abstract:
Preterm birth is the most common maternal complication in twin pregnancies. In recent years, cervical cerclage has been of long-standing interest in the prevention of preterm birth in twin pregnancies. However, its clinical application in the treatment of cervical insufficiency of twin pregnancies remains a controversial subject. In addition, infection or inflammation conditions are considered to be closely related to the perinatal outcomes of twin pregnancies after cervical cerclage. This paper reviews the research progress on cervical cerclage in twin pregnancies, recommending cervical cerclage for twin pregnancies with cervical length≤15 mm or cervical dilatation, while it is not suggested for those with cervical length of 15-25 mm or history-indicated cervical cerclage. The clinical significance of preoperative evaluation of intraamniotic infection or inflammation of twin pregnancies needs to be further explored, but it is necessary to avoid the effect of antibiotic use on the evaluation of surgical effects.
