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首页> 外文期刊>Acta Obstetricia et Gynecologica Scandinavica: Official Publication of the Nordisk Forening for Obstetrik och Gynekologi >Predictive score for early preterm birth in decisions about emergency cervical cerclage in singleton pregnancies
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Predictive score for early preterm birth in decisions about emergency cervical cerclage in singleton pregnancies

机译：单胎妊娠紧急宫颈环扎的决策中早产的预测得分

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摘要

Objective. To develop a simple score for assessing the risk of early preterm delivery before 32 weeks in women with singleton pregnancies receiving emergency cervical cerclage. Design. Retrospective study. Setting. French tertiary care center from 1994 to 2006. Population. A total of 134 pregnant women underwent emergency cervical cerclage procedure at 15-26 weeks. The analysis concerned 85 singleton pregnancies after exclusion of women with a dilated cervix without visible membranes, or presenting for revision of failed prophylactic cerclage, or who had either preterm premature rupture of membranes or clinical signs of chorioamnionitis. Methods. Multivariate logistic regression methods with rounded coefficients were used to develop a score to predict early preterm delivery before 32 weeks. Main outcome measures. Early preterm delivery before 32 weeks. Results. The score, ranging from 0 to 15 points, was based on the following four criteria independently associated with early preterm delivery: obstetric history; cervical dilatation; membranes bulging into the vagina; and infection. Each score value was associated with a predicted probability of early preterm birth. Conclusions. The score and its associated early preterm probabilities may be a valuable tool to help physicians in advising women about the need for emergency cerclage.
机译：目的。建立一个简单的评分来评估单胎妊娠妇女接受紧急宫颈环扎的妇女在32周之前早产的风险。设计。回顾性研究。设置。 1994年至2006年法国三级护理中心。人口。共有134名孕妇在15-26周时接受了紧急宫颈环扎手术。该分析涉及排除患有扩张的子宫颈而无可见膜的妇女，或表现出预防性环扎失败的修正，或早产膜破裂或绒毛膜羊膜炎的临床体征的妇女单胎妊娠85例。方法。使用具有四舍五入系数的多元logistic回归方法得出评分，以预测32周之前的早产。主要观察指标。在32周之前及早交货。结果。分数从0到15分不等，是基于以下四个与早产有关的独立标准：产科史;宫颈扩张膜膨出进入阴道;和感染。每个得分值都与早产的预测概率相关。结论该分数及其相关的早产概率可能是帮助医生向妇女建议紧急环扎需要的宝贵工具。

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