Cerclage is associated with the increased risk of preterm birth in women who had cervical conization

Geum Joon Cho; Yung Taek Ouh; Log Young Kim; Tae Seon Lee; Geun U. Park; Ki Hoon Ahn; Soon Cheol Hong; Min Jeong Oh; Hai Joong Kim

doi:10.1186/s12884-018-1765-6

Cerclage is associated with the increased risk of preterm birth in women who had cervical conization

Geum Joon Cho, Yung Taek Ouh, Log Young Kim, Tae Seon Lee, Geun U. Park, Ki Hoon Ahn, Soon Cheol Hong, Min Jeong Oh, Hai Joong Kim

Research output: Contribution to journal › Article › peer-review

11 Citations (Scopus)

Abstract

Background: The aim of this study was to determine the effect of cerclage in women who underwent cervical conization. Methods: Study data were collected from the Korea National Health Insurance Claims Database of the Health Insurance Review and Assessment Service for 2009-2013. Women who had a conization in 2009 and a subsequent first delivery between 2009 and 2013 in Korea were enrolled. Results: Among the women who had conization in 2009, 1075 women had their first delivery between 2009 and 2013. A cerclage was placed in 161 of the women who were treated by conization. The rate of preterm birth was higher in the women who were treated with cerclage following a conization compared with those without cerclage (10.56 vs 4.27, p<0.01, respectively). The multivariate regression analysis revealed that the women who were treated cerclage following a conization had an increased risk of preterm delivery compared with women without cerclage (odds ratio (OR), 2.6, 95% confidence interval (CI), 1.4-4.9). Conclusion: Our study showed that cerclage associated with an increased risk of preterm birth and preterm premature rupture of membranes in women who underwent conization. Further studies are required to clarify the mechanism by which cerclage affects the risk of preterm birth.

Original language	English
Article number	277
Journal	BMC Pregnancy and Childbirth
Volume	18
Issue number	1
DOIs	https://doi.org/10.1186/s12884-018-1765-6
Publication status	Published - 2018 Jul 3

Bibliographical note

Funding Information:
This research was supported by a grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute, funded by the Ministry of Health and Welfare, Republic of Korea (Grant No. HI14C0306 and H15C0810).

Publisher Copyright:
© 2018 The Author(s).

Keywords

Cerclage
Conization
Preterm birth
Preterm premature rupture of membrane

ASJC Scopus subject areas

Obstetrics and Gynaecology

Access to Document

10.1186/s12884-018-1765-6

Cite this

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title = "Cerclage is associated with the increased risk of preterm birth in women who had cervical conization",

abstract = "Background: The aim of this study was to determine the effect of cerclage in women who underwent cervical conization. Methods: Study data were collected from the Korea National Health Insurance Claims Database of the Health Insurance Review and Assessment Service for 2009-2013. Women who had a conization in 2009 and a subsequent first delivery between 2009 and 2013 in Korea were enrolled. Results: Among the women who had conization in 2009, 1075 women had their first delivery between 2009 and 2013. A cerclage was placed in 161 of the women who were treated by conization. The rate of preterm birth was higher in the women who were treated with cerclage following a conization compared with those without cerclage (10.56 vs 4.27, p<0.01, respectively). The multivariate regression analysis revealed that the women who were treated cerclage following a conization had an increased risk of preterm delivery compared with women without cerclage (odds ratio (OR), 2.6, 95% confidence interval (CI), 1.4-4.9). Conclusion: Our study showed that cerclage associated with an increased risk of preterm birth and preterm premature rupture of membranes in women who underwent conization. Further studies are required to clarify the mechanism by which cerclage affects the risk of preterm birth.",

keywords = "Cerclage, Conization, Preterm birth, Preterm premature rupture of membrane",

author = "Cho, {Geum Joon} and Ouh, {Yung Taek} and Kim, {Log Young} and Lee, {Tae Seon} and Park, {Geun U.} and Ahn, {Ki Hoon} and Hong, {Soon Cheol} and Oh, {Min Jeong} and Kim, {Hai Joong}",

note = "Funding Information: This research was supported by a grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute, funded by the Ministry of Health and Welfare, Republic of Korea (Grant No. HI14C0306 and H15C0810). Publisher Copyright: {\textcopyright} 2018 The Author(s).",

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doi = "10.1186/s12884-018-1765-6",

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AU - Cho, Geum Joon

AU - Ouh, Yung Taek

AU - Kim, Log Young

AU - Lee, Tae Seon

AU - Park, Geun U.

AU - Ahn, Ki Hoon

AU - Hong, Soon Cheol

AU - Oh, Min Jeong

AU - Kim, Hai Joong

N1 - Funding Information: This research was supported by a grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute, funded by the Ministry of Health and Welfare, Republic of Korea (Grant No. HI14C0306 and H15C0810). Publisher Copyright: © 2018 The Author(s).

PY - 2018/7/3

Y1 - 2018/7/3

N2 - Background: The aim of this study was to determine the effect of cerclage in women who underwent cervical conization. Methods: Study data were collected from the Korea National Health Insurance Claims Database of the Health Insurance Review and Assessment Service for 2009-2013. Women who had a conization in 2009 and a subsequent first delivery between 2009 and 2013 in Korea were enrolled. Results: Among the women who had conization in 2009, 1075 women had their first delivery between 2009 and 2013. A cerclage was placed in 161 of the women who were treated by conization. The rate of preterm birth was higher in the women who were treated with cerclage following a conization compared with those without cerclage (10.56 vs 4.27, p<0.01, respectively). The multivariate regression analysis revealed that the women who were treated cerclage following a conization had an increased risk of preterm delivery compared with women without cerclage (odds ratio (OR), 2.6, 95% confidence interval (CI), 1.4-4.9). Conclusion: Our study showed that cerclage associated with an increased risk of preterm birth and preterm premature rupture of membranes in women who underwent conization. Further studies are required to clarify the mechanism by which cerclage affects the risk of preterm birth.

AB - Background: The aim of this study was to determine the effect of cerclage in women who underwent cervical conization. Methods: Study data were collected from the Korea National Health Insurance Claims Database of the Health Insurance Review and Assessment Service for 2009-2013. Women who had a conization in 2009 and a subsequent first delivery between 2009 and 2013 in Korea were enrolled. Results: Among the women who had conization in 2009, 1075 women had their first delivery between 2009 and 2013. A cerclage was placed in 161 of the women who were treated by conization. The rate of preterm birth was higher in the women who were treated with cerclage following a conization compared with those without cerclage (10.56 vs 4.27, p<0.01, respectively). The multivariate regression analysis revealed that the women who were treated cerclage following a conization had an increased risk of preterm delivery compared with women without cerclage (odds ratio (OR), 2.6, 95% confidence interval (CI), 1.4-4.9). Conclusion: Our study showed that cerclage associated with an increased risk of preterm birth and preterm premature rupture of membranes in women who underwent conization. Further studies are required to clarify the mechanism by which cerclage affects the risk of preterm birth.

KW - Cerclage

KW - Conization

KW - Preterm birth

KW - Preterm premature rupture of membrane

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ER -

Cerclage is associated with the increased risk of preterm birth in women who had cervical conization

Abstract

Bibliographical note

Keywords

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