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Predictive score for early preterm birth in decisions about emergency cervical cerclage in singleton pregnancies.
MedLine Citation:
PMID:  22375688     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective. To develop a simple score for assessing the risk of early preterm delivery before 32 weeks in women with singleton pregnancies receiving emergency cervical cerclage. Design. Retrospective study. Setting. French tertiary care center from 1994 to 2006. Population. A total of 134 pregnant women underwent emergency cervical cerclage procedure at 15-26 weeks. The analysis concerned 85 singleton pregnancies after exclusion of women with a dilated cervix without visible membranes, or presenting for revision of failed prophylactic cerclage, or who had either preterm premature rupture of membranes or clinical signs of chorioamnionitis. Methods. Multivariate logistic regression methods with rounded coefficients was used to develop a score to predict early preterm delivery before 32 weeks. Main Outcome Measures. Early preterm delivery before 32 weeks. Results. The score, ranging from 0 to 15 points, was based on the four criteria independently associated with early preterm delivery: obstetric history, cervical dilatation, membranes bulging into the vagina, and infection. Each score value was associated with a predicted probability of early preterm birth. Conclusion. The score and its associated early preterm probabilities may be a valuable tool to help physicians in advising women about the need for emergency cerclage.
Authors:
Florent Fuchs; Marie-Victoire Senat; Hervé Fernandez; Amélie Gervaise; René Frydman; Jean Bouyer
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-2-29
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  -     ISSN:  1600-0412     ISO Abbreviation:  -     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-3-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors Acta Obstetricia et Gynecologica Scandinavica© 2012 Nordic Federation of Societies of Obstetrics and Gynecology.
Affiliation:
Department of Obstetrics and Gynecology. Hospital Béclère-Bicêtre, Assistance Publique Hôpitaux de Paris (APHP), Le Kremlin-Bicêtre, Inserm, CESP Centre for research in Epidemiology and Population Health, U1018, Reproduction and child development, Villejuif, Univ Paris-Sud, UMRS 1018, Villejuif, INSERM U782, Université Paris-Sud, Clamart, Department of Obstetrics, Gynecology and Reproductive medicine. Hospital Antoine Béclère, Assistance Publique Hôpitaux de Paris (APHP), Clamart, France.
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