Status:

COMPLETED

Prophylactic Cerclage for Twin Pregnancy With Shortened Cervix

Lead Sponsor:

Zagazig University

Conditions:

Preterm Birth

Twin Pregnancy With Antenatal Problem

Eligibility:

FEMALE

18-45 years

Phase:

NA

Brief Summary

This randomized controlled trial is aimed to evaluate pregnancy and neonatal outcomes in twin pregnancies, in which a cervical cerclage is placed due to the shortening of the cervix with or without vi...

Detailed Description

Introduction Multiple pregnancies are high-risk pregnancies and usually associated with an increased risk of neonatal morbidity and mortality, mainly due to preterm births. Preterm births occur in 50%...

Eligibility Criteria

Inclusion

  • Age between 18-45 years.
  • Dichorionic twins.
  • Transvaginal sonographic cervical length is \<25 mm with or without internal os dilatation ≥10 mm at 14-20 weeks gestational age.
  • Asymptomatic.

Exclusion

  • Triplets and quadruplets.
  • Monochorionic twins.
  • Threatened/ inevitable miscarriage
  • Bulging membranes through the external os.
  • Extremes of age.
  • Major fetal anomalies.
  • Known cases with uterine anomalies e.g. bicornuate uterus, uterus didelphis… etc.
  • Fetal demise.
  • Fetal reduction in the current pregnancy.

Key Trial Info

Start Date :

December 20 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 31 2024

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT05338164

Start Date

December 20 2021

End Date

October 31 2024

Last Update

February 27 2025

Active Locations (1)

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Faculty of medicine, Zagazig University

Zagazig, Sharqia Province, Egypt, 44519