Evidence map›Paper›PMID 40133847›Full record

ArticleBMC pregnancy and childbirth2025

Association between clinical subtypes and pregnancy outcome of cervical incompetence: a retrospective cohort study.

Huiqin Xiao, Xiaofang Xing, Can Zhang, Yong Shao

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Huiqin Xiao *Department of Obstetrics and Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, P. R. China.
Xiaofang Xing *Department of Obstetrics and Gynecology, The Third People's Hospital of Yunnan Province, Kunming, P. R. China.
Can Zhang *Department of Obstetrics and Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, P. R. China.
Yong ShaoDepartment of Obstetrics and Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, P. R. China. cqshaoyong@163.com.

Funding

National Key Research and Development Program of China 2021YFC2701500, 2021YFC2701501, 2021YFC2701505
6 · The paper itself

Abstract

objectiveTo investigate the association between clinical subtypes and pregnancy outcomes of cervical incompetence.

methodsThe clinical data of emergency cerclage group (96 cases) were analyzed retrospectively. According to the different degree of cervical dilatation and amniotic sac protrusion during operation, the emergence cerclage group was divided into 4 subtypes: Type I(43 cases), Type II(27 cases), Type III(14 cases), and the Type IV(12 cases).

results①Patients with type IV in the emergency cervical cerclage group had a higher frequency of late miscarriage and preterm birth when compared to the other three subtypes (type I, type II and type III) (P < 0.05);②Patients with type IV in the emergency cervical cerclage group had a lower gestational age at surgery than type I and II patients, while type III patients had a longer duration of surgery than type I and II patients, and longer length of hospital stay than type I (P < 0.05);③Patients with type IV in the emergency cervical cerclage group had a lower gestational age at termination than type I and type II patients, lower birth weight of newborns than type I and type III patients, lower term delivery rate than type I patients, and higher neonatal admission to NICU rate than type I patients (P < 0.05).

conclusionCervical incompetence can be classified into four subtypes based on the degree of cervical dilation and amniotic sac protrusion; Transvaginal amniotic fluid reduction provides a possible surgical solution for patients with cervical incompetence type IV.

Indexed as

Cerclage, CervicalPregnancy OutcomePremature BirthUterine Cervical IncompetenceAbortion, SpontaneousAdultFemaleGestational AgeHumansInfant, NewbornLength of StayPregnancyRetrospective StudiesAmniotic fluid reductionCervical cerclageCervical incompetenceEmergency cerclage

Identifiers

PMID40133847
PMCPMC11934468

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