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| Effectiveness of preventive cervical cerclage for treating women with twin pregnancy and cervical insufficiency after IVF-ET |
| Qinhuangdao Maternal and Child Health Hospital, Hebei Province, 066000 |
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Abstract To explore the effectiveness of preventive cervical cerclage for treating women with twin pregnancy and cervical insufficiency after in vitro fertilization and embryo transfer (IVF-ET). Methods: The clinical data of 86 women with twin pregnancy and cervical insufficiency from January 2015 to June 2020 were analyzed retrospectively, which included 24 women with emergency cervical cerclage in control group and 62 women with prophylactic cervical cerclage in study group. The operative indications, the rate the prolonged gestational weeks, the gestational weeks when pregnancy termination, and the pregnancy outcomes of the women were compared between the two groups. Results: There was no statistically significant differences in the clinical surgical indicators of the women between the two groups (P＞0.05). The prolonged gestational weeks (20.1±2.8 weeks) of the women in the study group was significant longer than that (12.6±0.6 weeks) of the women in the control group (P＜0.05). There was no significant difference in gestational weeks when termination (34.1±1.7 weeks vs. 33.5±1.9 weeks) of pregnancy of the women between the two groups (P＞0.05). The newborn weight (3.3±0.7kg) and Apgar score (9.0±0.6 points) in the study group were significant higher than those (3.1±0.7kg and 8.7±0.4 points) in the control group (P＜0.05). There were no significant differences in neonatal survival rate, premature birth rate, term birth rate, and abortion rate between the two groups (P＞0.05). Conclusion: Prophylactic cervical cerclage for treating women with twin pregnancy and cervical insufficiency after IVF-ET has better effectiveness.
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