Effect of functional cervical length on pregnancy outcomes after transvaginal cervical cerclage
Objective To analyze the impact of functional cervical length(FCL)on the pregnancy outcomes after transvaginal cervical cerclage.Methods The clinical data of 33 pregnant women diagnosed with cervical incompetence and undergoing transvaginal cervical cerclage were retrospectively analyzed.According to the measurement of FCL by transvaginal ultrasound before cervical cerclage surgery,33 pregnant women were divided into three groups of A(FCL ≥ 25 mm,9 cases),B(10 mm≤FCL＜25 mm,16 cases)and C(FCL＜10 mm,8 cases).The pregnancy outcomes were compared among the three groups.Results The gestational age undergoing cervical cerclage of groups of B and C was more than that of group A(P＜0.05).The prolongation of gestational age in group A was more than that in groups of B and C(P＜0.05).The neonatal weight in group A was higher than that in group C(P＜0.05).The proportions of newborns with 1-minute Apgar score≤7 points and neonatal asphyxia in group C were higher than those in group B(P＜0.05).The proportion of neonatal complications in group C was higher than that in group A(P＜0.05).Conclusion The FCL before transvaginal cervical cerclage is related to postoperative pregnancy outcomes.The pregnant women with FCL≥10 mm before cervical cerclage have reduced proportions of neonatal asphyxia,1-minute Apgar score ≤ 7 points,and neonatal complications.
万方数据
维普
