Effects of Maternal Cervical Incompetence on Morbidity and Mortality of Preterm Neonates with Birth weight Less than 2000g

AUTHORS

Zhang Wei 1 , * , Wang Hua 2 , Fan Ling 3 , Yu Song 4 , Ma Jian-Rong 5 , Wang Ping 6

1

2

3

4

5

6

How to Cite: Wei Z , Hua W , Ling F , Song Y , Jian-Rong M , et al. Effects of Maternal Cervical Incompetence on Morbidity and Mortality of Preterm Neonates with Birth weight Less than 2000g, Iran J Pediatr. 2014 ; 24(6):759-765.

ARTICLE INFORMATION

Iranian Journal of Pediatrics: 24 (6); 759-765
Published Online: December 09, 2014
Article Type: Research Article
Received: March 14, 2014
Accepted: July 10, 2014

Crossmark

CHEKING

READ FULL TEXT
Abstract

Objective: This study aimed to determine the impact of maternal cervical incompetence (with or without McDonald cerclage) on mortality and morbidity of preterm infant with birth weight <2000g. Methods: 581 neonates were eligible for this study, 79 with cervical incompetence and 502 without it (control). Incidences of neonatal respiratory distress syndrome (RDS), bronchopulmonary dysplasia (BPD), intraventricular hemorrhage (IVH), neonatal necrotizing enterocolitis (NEC), retinopathy of prematurity (ROP), periventricular leukomalacia (PVL), severe asphyxia,small for gestational age (SGA), early-onset sepsis (EOS), and mortality were compared between the two groups. Findings: Mean gestational age was earlier in cervical incompetence group than in control (30.2±2.1 vs 30.7±1.9, P<0.05). Except lower frequency of SGA, there were no significant differences in the incidences of RDS, BPD, ROP, PVL, IVH, NEC, EOS, severe asphyxia and mortality between the two groups. Infants with no cerclage had a higher prevalence of RDS (21/66 vs 9/13, P<0.05) compared to cerclage group due to lower mean gestational age (30.68±2.1 vs 28.6±1.4, P<0.01) and birth weight (1519.5±274.6 vs 1205.8±204.4, P<0.001), and clinical neonatal outcomes of the elective cerclage were similar to emergency cerclage in cervical incompetence groups. Conclusion: Maternal cervical incompetence was not associated with postnatal adverse neonatal outcomes. Lower mean gestational age was a major risk associated with higher prevalence of RDS in preterm neonates with no McDonald cerclage, and emergency cerclage did not predict poor clinical neonatal outcomes.

 

Keywords

Uterine Cervical Incompetence Neonate Mortality Morbidity McDonald Cerclage

© 0, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

Fulltext

References

  • 1.

    Reference are available on the PDF.

  • COMMENTS

    LEAVE A COMMENT HERE: