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Risk Factors in Women Undergoing Cervical Cerclage at Imam Khomeini Hospital in Ahvaz (2011-2021)
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R Nikbakht    , Kh Mohammadpoor * , N Nasehi , E Karimi Moghaddam |
| 2.Department of Obstetrics and Gynecology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, I.R.Iran. , drkhadije1@gmail.com |
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Abstract: (205 Views) |
Background and Objective: Cervical insufficiency is a risk factor for late miscarriage and spontaneous preterm birth. Cervical cerclage is used to manage women with ultrasound diagnosis of cervical insufficiency and at risk of complications. Since multiple factors are involved in cervical insufficiency, the aim of this study was to investigate risk factors in in women undergoing cervical cerclage in Ahvaz.
Methods: This cross-sectional study was conducted on pregnant women with cervical insufficiency undergoing cervical cerclage at Imam Khomeini Hospital, Ahvaz, from 2011-2021. Patient information including demographic characteristics and pregnancy-related risk factors including history of a previous pregnancy, type of previous delivery, history of preterm birth, history of multiple pregnancy, history of curettage and abortion, family history of cervical insufficiency, and history of infertility were collected and analyzed.
Findings: The mean gestational age at the time of cervical insufficiency diagnosis was 16.51±2.91 weeks (between 11 and 28 weeks of pregnancy). Moreover, 214 (77%) patients had a history of previous pregnancy and 166 (59.7%) had a history of previous childbirth. There was a history of preterm birth in 141 patients (50.7%), a history of abortion in 120 patients (43.2%), a family history of cervical insufficiency in 68 patients (24.5%), a history of infertility in 48 patients (17.3%), a history of curettage in 42 patients (15.1%), a history of multiple pregnancy in 23 patients (8.3%), and menstrual disorders in 18 patients (6.5%). The results showed that there was a direct and significant relationship between cervical length before cerclage and the age of the pregnant mothers (r=0.123, p=0.041).
Conclusion: The results of the study showed that the greatest risk factors for cervical insufficiency are history of preterm birth, miscarriage, and family history of cervical insufficiency. |
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| Keywords: Cervical Cerclage, Cervical Insufficiency, Preterm Birth. |
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Full-Text [PDF 279 kb]
(34 Downloads)
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Type of Study: Research |
Subject:
Obstetrics and Gynecology
Received: 2024/12/3 | Accepted: 2025/01/6 | Published: 2025/12/14
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