Evidence map›Paper›PMID 40077964›Full record

ArticleJournal of the Turkish German Gynecological Association2025

Outcomes of emergency cervical cerclage after amnioreduction in twin pregnancies with a fully dilated cervix and amniotic membrane prolapse.

Ahmet Yalınkaya, Süleyman Cemil Oğlak, Reyhan Gündüz, Emine Zeynep Yılmaz, Gökhan Bolluk, Murat Yayla

Abstract read
In one paragraph

Article in Journal of the Turkish German Gynecological Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ahmet YalınkayaDepartment of Obstetrics and Gynecology, Dicle University Faculty of Medicine, Diyarbakır, Türkiye.ORCID 0000-0002-6644-0186
Süleyman Cemil OğlakClinic of Obstetrics and Gynecology, University of Health Sciences Türkiye, Gazi Yaşargil Training and Research Hospital, Diyarbakır, Türkiye.ORCID 0000-0001-7634-3008
Reyhan GündüzDepartment of Obstetrics and Gynecology, Dicle University Faculty of Medicine, Diyarbakır, Türkiye.ORCID 0000-0001-8468-7038
Emine Zeynep YılmazClinic of Obstetrics and Gynecology, Bahçelievler Memorial Hospital, İstanbul, Türkiye.ORCID 0000-0002-3537-8340
Gökhan BollukClinic of Perinatology, University of Health Sciences Türkiye, Başakşehir Çam and Sakura City Hospital, İstanbul, Türkiye.ORCID 0000-0002-3506-6806
Murat YaylaClinic of Perinatology, Acıbadem Kozyatağı Hospital, İstanbul, Türkiye.ORCID 0000-0002-3880-4704

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The aim of this study was to evaluate the effectiveness of emergency cervical cerclage (EmC) in twin pregnancies with a fully dilated cervix and amniotic membrane prolapse. Material and Methods: This retrospective study examined records from December 2015 to December 2022 and included 20 twin pregnancies. The patients were divided into two groups, the EmC group (EmC group) and the no EmC (control) group, and pregnancy outcomes were compared. Results: EmC was performed after amnioreduction in 11 twin pregnancies. Nine patients who refused EmC were followed up with expectant management. The mean gestational age at first examination was similar between the EmC (21.36±1.62 weeks) and control group (21.00±3.16 weeks, p=0.372). The median (range) volume of removed amniotic fluid was 151.82 (120-420) mL. Cases in the EmC group gained a significantly longer delay until delivery (47.72±28.14 days) compared to controls (2.33±0.5 days, p<0.001). All of the women in the control group gave birth within three days following admission to hospital. The mean gestational age at birth was significantly higher in the EmC group (28.18±4.53 weeks) than in the control group (21.57±3.53 weeks, p<0.001). Thirteen (59.09%) infants survived in the EmC group while only two infants (22.22%) of one patient survived in the control group (p<0.001). Conclusion: EmC increases the survival rate of infants by prolonging the gestational age at delivery in twin pregnancies. Clinicians and patients should be encouraged regarding the use of EmC in twin pregnancies with a fully dilated cervix and prolapsed amniotic membranes.

Indexed as

amnioreductionemergency cervical cerclagefully dilated cervixmembrane prolapseTwin pregnancies

Identifiers

PMID40077964
PMCPMC11905194

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.