Amnioreduction Combined with Emergency Cervical Cerclage in the Treatment of Painless Cervical Dilation in Twin Pregnancy Women： a Retrospective Study
- VernacularTitle:羊水减量联合紧急宫颈环扎术治疗中孕双胎妊娠无痛性宫口扩张的回顾性分析
- Author:
Shuai FU
1
;
Qi XU
1
;
Lin-xiang WU
1
;
Jian-ping TAN
1
;
Li-qiong ZHU
1
;
Ying-lin LIU
1
;
Hui CHEN
1
Author Information
1. Department of Obstetrics and Gynecology， Sun Yat-sen Memorial Hospital of Sun Yat-sen University， Guangzhou 510120， China
- Publication Type:Journal Article
- Keywords:
twin pregnancy;
amnioreduction;
emergency cervical cerclage;
pregnancy outcomes;
neonatal outcomes
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2021;42(2):235-241
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the safety and efficacy of amnioreduction combined with emergency cervical cerclage in the treatment of painless cervical dilatation of twin pregnancy women in the second trimester. MethodsTotally 35 cases of twin pregnancy women with painless cervical dilatation and cervical external orifice ≥1 cm were included in our retrospective study from January 1， 2013 to July 31， 2019 in Sun Yat-sen University Memorial Hospital. All pregnant women were in 16 to 28 gestational weeks and treated with amnioreduction by abdominal amniocentesis， and then underwent emergency cervical cerclage. ResultsThe average gestational age of 35 pregnant women were （23.40 ± 1.79） weeks. The average size of cervical dilation was （3.90 ± 2.80） cm before emergency cervical cerclage， and the average reduced volume of amniotic fluid was （249.85 ± 157.20） mL. No membrane rupture occurred during the operation. The average interval from operation to delivery was 40.00 （19.00 ~ 55.00） days， and the average gestational age of delivery was （29.43 ± 3.98） weeks. Forty-nine newborns survived and 26 cases （74.29%，26/35） got at least one take-home baby， including 23 cases （65.71%，23/35） got two surviving newborns and 3 cases （8.57%，3/35） got only one surviving newborn. ConclusionsAmnioreduction can be safely used in twin pregnancy women with painless cervical dilation in the second trimester. Amnioreduction combined with emergency cervical cerclage can delay the gestational age of delivery， which has certain clinical significance.
