Adjunctive Pessary Therapy after Emergency Cervical Cerclage for Cervical Insufficiency with Protruding Fetal Membranes in the Second Trimester of Pregnancy: A Novel Modification of Treatment
Table 2
Comparison of the pregnancy outcomes between the study and the control group.
Study group
Control group
Median (min–max)
Mean
SD
Median (min–max)
Mean
SD
Gestational age at delivery (weeks)
35 (22–41)
34.7
6.3
28 (21–38)
29.7
6.8
0.03
Prolongation of pregnancy (days)
91 (12–119)
82.9
39
35 (5–119)
52.1
43.7
0.045
Miscarriage or preterm delivery
8 (53.3)
11 (64.7)
0.7
Miscarriage
0
2 (11.8)
0.5
Delivery >26 wks
14 (93.3)
10 (58.8)
0.041
Delivery >28 wks
13 (86.7)
9 (52.9)
0.06
Delivery >32 wks
13 (86.7)
8 (47.1)
0.028
Delivery >34 wks
10 (66.7)
11 (35.3)
0.9
PROM
6 (40)
5 (29.4)
0.7
Intrauterine infection
3 (20)
5 (29.4)
0.69
Spontaneous regular uterine contractions
7 (46.7)
8 (47.1)
0.9
Vaginal delivery
12 (80)
13/15 (86.7)
0.95
Cesarean delivery
3 (20)
2/15 (13.3)
0.9
Indications
Fetal malpresentation
2
2
Imminent fetal asphyxia
1
0
Neonatal birthweight (g)
2850 (540–3700)
2550
1021
1650 (520–3680)
1883
1194
0.14
Stillbirths
1 (6.7)
1 (5.9)
0.98
NICU admission
5 (33.3)
6 (35.3)
0.9
“Discharged alive” rate
14 (93.3)
12 (70.5)
0.2
(%). wks: weeks of gestation. PROM: premature rupture of membranes. NICU: Neonatal Intensive Care Unit.
