Impact of vaginal cervical cerclage on efficacy and pregnancy outcomes of patients with cervical incompetence in twin pregnancies
Objective To analyze the impact of vaginal cervical cerclage on efficacy and pregnancy outcomes of patients with cervical incompetence in twin pregnancies.Methods A total of 90 patients with cervical incompetence in twin pregnancies with assisted reproductive technology(ART)were selected.Taking the date of birth of the patients as the basis for grouping,they were divided into a control group and an observation group using the random number grouping model.The control group used the traditional fetal preservation treatment model for intervention;The observation group used the vaginal cervical cerclage treatment model for intervention.The gestational age of delivery,actual extension of time,neonatal birth weight,neonatal Apgar score,neonatal adverse prognosis,and incidence of adverse pregnancy outcomes were compared between the two groups.Results In the control group,the gestational week of delivery was(34.09±2.17)weeks and the actual extension of time was(36.47±3.71)d;in the observation group,the gestational week of delivery was(37.50±1.93)weeks,and the actual length of time was(39.12±2.99)d.The gestational week of delivery and actual extension of time in the observation group were longer than those in the control group(P<0.05).In the control group,the neonatal birth weight was(2231.61±361.60)g,and the neonatal Apgar score was(7.91±0.62)points;in the observation group,the neonatal birth weight was(2921.59±861.22)g,and the neonatal Apgar score was(8.94±0.84)points.The neonatal birth weight and neonatal Apgar score in the observation group were higher than those in the control group(P<0.05).Neonates in the control group had 7 cases of respiratory distress syndrome,4 cases of hypoxic ischemic encephalopathy and 0 case of death;neonates in the observation group had 1 case of respiratory distress syndrome,0 case of hypoxic ischemic encephalopathy and 0 case of death.The incidence of adverse neonatal prognosis in the observation group was 1.11% lower than 12.22% in the control group(P<0.05).There was no significant difference in the incidence of adverse pregnancy outcomes between the two groups(P>0.05).Conclusion In the process of treating patients with cervical incompetence in twin pregnancies with ART,flexible application of vaginal cervical cerclage therapy to the actual treatment process can achieve more accurate treatment effects,and improve the state of neonates to the greatest extent under the condition of ensuring the safety and prognosis of patients.
Vaginal cervical cerclageCervical incompetence in twin pregnanciesGestational age of deliveryPregnancy outcomes
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