Evidence map›Paper›PMID 39166662›Full record

ArticleRevista da Associacao Medica Brasileira (1992)2024

The predictive value of hemogram parameters for early preterm delivery in pregnant women undergoing cervical cerclage.

Ümran Kılınçdemir Turgut, Ebru Erdemoğlu, Cem Dağdelen, Mehmet Okan Özkaya, Mekin Sezik

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Article in Revista da Associacao Medica Brasileira (1992), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Ümran Kılınçdemir TurgutUniversity of Health Sciences, Adana City Training and Research Center, Department of Obstetrics and Gynaecology-Perinatology - Adana, Turkey.ORCID http://orcid.org/0000-0003-2513-5297
Ebru ErdemoğluSuleyman Demirel University, Faculty of Medicine, Department of Obstetrics and Gynecology - Isparta, Turkey.ORCID http://orcid.org/0000-0003-2677-1236
Cem DağdelenSuleyman Demirel University, Faculty of Medicine, Department of Obstetrics and Gynecology - Isparta, Turkey.ORCID http://orcid.org/0000-0003-0950-0442
Mehmet Okan ÖzkayaSuleyman Demirel University, Faculty of Medicine, Department of Obstetrics and Gynecology - Isparta, Turkey.ORCID http://orcid.org/0000-0002-9635-4617
Mekin SezikSuleyman Demirel University, Faculty of Medicine, Department of Obstetrics and Gynecology - Isparta, Turkey.ORCID http://orcid.org/0000-0002-6989-081X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to investigate the predictive value of hemogram parameters in early preterm delivery (32 gestational weeks and below) among pregnant women who have undergone cervical cerclage, based on cervical changes determined before the cerclage procedure.

methodsBetween 2010 and 2020, a total of 161 patients underwent cervical cerclage. The participants were divided into three groups. Group 1 (n=92) consisted of pregnant women who underwent prophylactic cerclage. Group 2 (n=31) included those with cervical shortening (<5 mm) and/or dilation (≤3 cm). Group 3 (n=38) comprised pregnant women with cervical dilation >3 cm. Each group was further divided based on delivery weeks, with a cutoff at 32 weeks. Demographic parameters and laboratory parameters were assessed.

resultsIn Group 1, all hemogram parameters showed no significant differences between deliveries below and above 32 weeks. In Group 2, the neutrophil-to-lymphocyte ratio value before cerclage was higher in the early preterm delivery group (p=0.002), with a cutoff value of 4.75 in receiver operating characteristic analysis. In Group 3, the white blood cell value before cerclage was higher in the early preterm delivery group (p=0.005), with a cutoff value of 13.05×103/μL in receiver operating characteristic analysis.

conclusionThe use of hemogram parameters to predict early preterm delivery in pregnant women undergoing prophylactic cerclage is not appropriate. However, neutrophil-to-lymphocyte ratio value can predict early preterm delivery when cervical dilation is 3 cm or less and/or cervical shortening is 5 mm or less. When cervical dilation exceeds 3 cm, the white blood cell value is more appropriate for predicting early preterm delivery.

Indexed as

Cerclage, CervicalPredictive Value of TestsPremature BirthAdultCervical Length MeasurementFemaleGestational AgeHumansNeutrophilsPregnancyRetrospective StudiesROC CurveUterine Cervical IncompetenceYoung Adult

Identifiers

PMID39166662
PMCPMC11329246

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