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首页> 外文期刊>Journal of Clinical and Diagnostic Research >The Short Cervix Management as a Prevention Method of Preterm Birth
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The Short Cervix Management as a Prevention Method of Preterm Birth

机译：子宫颈短期管理作为预防早产的方法

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Preterm birth is considered to be the most common cause of antenatal mortality and further newborns? morbidity in the world. The majority of children, who are born before physiologically normal term, suffer from long-term unfavourable consequences of the preterm births. Therefore, there is a strong demand on effective medically tested and proved mechanisms of decreasing the preterm birth coefficient. In the following survey, the short cervix has been identified as a significant predictor of preterm birth. Thus, its management helps find relevant solution in reducing the level of preterm birth.Aim: To assess the effectiveness of: 1) the Arabin obstetric pessary; 2) cerclage (surgical management of the cervix by Lyubimova and Mammadaliyeva); 3) intravaginal micronised progesterone 200 mg affecting to the short cervix with purpose of the preterm birth prevention; to confirm the achieved results by the method of transvaginal cervicometry.Materials and Methods: A total of 125 women were included in the study. Obstetric pessary was used in 62 women Group I, cerclage was done in 31 women Group II and vaginal progesterone was used in 32 women Group III to treat the short cervix. The results of short cervix management methods were assessed according to the comparison of pregnancy outcomes between groups.Results: Comparison of pregnancy outcomes between group I and group II did not reveal notable statistical differences in the rates of urgent labour if taken into account the premature births over 34 weeks and interruptions of pregnancy with less than 22 weeks. Nevertheless, there were significantly more frequent cases of premature births on the term of less than 34 weeks (CI (95%) 13.7-18.4) in group II (p<0.05). Indicatively, more often premature births within the term of less than 34 weeks occurred in groups II and III, comparing with the group I. Comparison of the outcomes of pregnancy in groups II and III did not demonstrat significant statistical differences between them.Conclusion: Application of the Arabin obstetric pessary, the cerclage and progesterone has an equal effectiveness for women with the short cervix, singleton pregnancy and with the history of preterm birth. There were no registered cases of extremely early preterm births. In order to determine the effective methods of the short cervix correction, further randomised control trials with broad number of participants should be conducted.
机译：早产被认为是产前死亡率和进一步新生儿的最常见原因？世界发病率。大多数在生理学上正常出生之前出生的儿童遭受早产的长期不利影响。因此，迫切需要有效的医学检验和证实的降低早产系数的机制。在以下调查中，宫颈短被确定为早产的重要预测指标。因此，其管理有助于找到减少早产水平的相关方法。 2）环扎术（Lyubimova和Mammadaliyeva对子宫颈的外科手术处理）; 3）阴道内微粉化孕激素200 mg影响短宫颈，以预防早产;通过阴道阴道宫颈癌测定法证实所取得的结果。材料与方法：本研究共纳入125名妇女。 I组的62名妇女使用了产科子宫托，II组的31名妇女进行了环扎术，III组的32名妇女使用了阴道黄体酮治疗短宫颈。根据各组之间妊娠结局的比较来评估短期宫颈管理方法的结果。结果：如果将第一组和第二组的妊娠结局进行比较，则考虑到紧急情况下的分娩率没有显着统计学差异早产超过34周，并且中断妊娠少于22周。尽管如此，第二组中小于34周的早产病例明显增多（CI（95％）13.7-18.4）（p <0.05）。指示性地，与第一组相比，第二和第三组在少于34周的期限内发生早产的频率更高。第二和第三组的妊娠结局比较并未显示出两者之间的显着统计学差异。结论：应用阿拉伯产科子宫托，环扎和孕酮对宫颈短，单胎妊娠和早产史的妇女具有同等效力。没有登记的极早产案例。为了确定短宫颈矫正的有效方法，应进行更多参与者的随机对照试验。

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