McDonald versus modified Shirodkar rescue cerclage in women with prolapsed fetal membranes

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dc.authoriddogan, ozan/0000-0002-0016-8749
dc.authoridELLIBES KAYA, ASKI/0000-0002-1323-7416
dc.authoridBayrak, Mehmet/0000-0002-9910-8032
dc.authoridGOYNUMER, FIKRET GOKHAN/0000-0002-3739-6008
dc.authorwosiddogan, ozan/G-7846-2018
dc.contributor.authorBasbug, Alper
dc.contributor.authorBayrak, Mehmet
dc.contributor.authorDogan, Ozan
dc.contributor.authorKaya, Aski Ellibes
dc.contributor.authorGoynumer, Gokhan
dc.date.accessioned2021-12-01T18:50:01Z
dc.date.available2021-12-01T18:50:01Z
dc.date.issued2020
dc.department[Belirlenecek]en_US
dc.description.abstractPurpose: We compared the efficacy of modified Shirodkar and McDonald rescue cerclage techniques in women with singleton pregnancies. Methods: The study sample included 47 women who presented at two tertiary hospitals in Turkey from 2008 to 2017 and underwent rescue cerclage due to cervical incompetence and cervical dilatation with fetal membranes prolapsed into the vagina. The outcomes were compared by cerclage technique used, Shirodkar or McDonald. Results: The McDonald cerclage was applied in 27 cases, and modified Shirodkar cerclage in 20 cases. A longer cerclage-to-birth interval (83.8 +/- 37.6 vs. 63.7 +/- 38.9 days) and later gestational age at delivery (33 vs. 31 weeks) were observed with the Shirodkar cerclage, although these differences were not statistically significant (p = .08 and .63, respectively). Both groups had similar delivery rates after 28, 32, and 37 weeks (p = .20, .15, and .25, respectively), whereas the modified Shirodkar technique resulted in a higher rate of live births although these differences were not statistically significant (85% vs. 63%, p = .09). Conclusion: The effects of the McDonald and modified Shirodkar cerclage procedures on prolonging pregnancy and improving the live birth rate were similar. Therefore, either technique can be applied to prevent neonatal loss due to advanced prematurity.en_US
dc.identifier.doi10.1080/14767058.2018.1514378
dc.identifier.endpage1079en_US
dc.identifier.issn1476-7058
dc.identifier.issn1476-4954
dc.identifier.issue7en_US
dc.identifier.scopus2-s2.0-85053905493en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1075en_US
dc.identifier.urihttps://doi.org/10.1080/14767058.2018.1514378
dc.identifier.urihttps://hdl.handle.net/20.500.12684/10814
dc.identifier.volume33en_US
dc.identifier.wosWOS:000510748300001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofJournal Of Maternal-Fetal & Neonatal Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCervical incompetenceen_US
dc.subjectMcDonalden_US
dc.subjectpremature birthen_US
dc.subjectrescue cerclageen_US
dc.subjectShirodkaren_US
dc.subjectPreterm Birthen_US
dc.subjectCervical Cerclageen_US
dc.subjectPreventionen_US
dc.subjectOutcomesen_US
dc.subjectManagementen_US
dc.subjectPessaryen_US
dc.subjectRisken_US
dc.titleMcDonald versus modified Shirodkar rescue cerclage in women with prolapsed fetal membranesen_US
dc.typeArticleen_US

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