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Fassahova A.F.

FSBI «Ural Research Institute of Maternity and Infancy Welfare», Yekaterinburg, Russia, 620028

Mal'gina G.B.

FGBU "Ural'skiĭ nauchno-issledovatel'skiĭ institut okhrany materinstva i mladenchestva" Minzdrava Rossii, Ekaterinburg, Rossiia

Dankova I.V.

Ural Research Institute of Maternal and Infant Care, Ministry of Health of the Russian Federation, Yekaterinburg, Russia

Ultrasound and anamnestic risk factors for the cervical insufficiency in multiple pregnancies resulting from assisted reproductive technologies

Authors:

Fassahova A.F., Mal'gina G.B., Dankova I.V.

More about the authors

Journal: Russian Journal of Human Reproduction. 2019;25(3): 129‑135

DOI: 10.17116/repro201925031129

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Table of contents

ULTRASOUND AND ANAMNESTIC RISK FACTORS FOR THE CERVICAL INSUFFICIENCY IN MULTIPLE PREGNANCIES RESULTING FROM ASSISTED REPRODUCTIVE TECHNOLOGIES
ULTRASOUND AND ANAMNESTIC RISK FACTORS FOR THE CERVICAL INSUFFICIENCY IN MULTIPLE PREGNANCIES RESULTING FROM ASSISTED REPRODUCTIVE TECHNOLOGIES

To cite this article:

Fassahova AF, Mal'gina GB, Dankova IV. Ultrasound and anamnestic risk factors for the cervical insufficiency in multiple pregnancies resulting from assisted reproductive technologies. Russian Journal of Human Reproduction. 2019;25(3):129‑135. (In Russ.)
https://doi.org/10.17116/repro201925031129

Подписка 2026 Проблемы репродукции (Russian Journal of Human Reproduction)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Objective — to determine the anamnestic and sonographic criteria of cervical insufficiency (CI) in twin pregnancies after assisted reproductive technologies (ART). Material and methods. The main study group consisted of 31 patients with twin pregnancies who developed cervical insufficiency (CI). The control group of the study consisted of 29 patients who did not have this complication of pregnancy. The analysis of obstetric and gynecological, somatic history. All patients underwent routine measurement of cervical length at midgestation from 14 to 26 weeks of pregnancy. Results. Anamnestic risk factors for the CI in twin pregnancies after ART are: a history of early miscarriages, followed by vacuum aspiration of uterine cavity (OR = 7.4, CI: 1.48—37.3; p<0.05 ) and endocrine factor of infertility (OR = 4,1, CI: 1.01—16.95; p<0.05). The cervical length 35 mm or less, from 14 to 24 weeks of gestation, is critical for twin pregnancies from ART, and therefore it is necessary to install pessary for the preventive purpose. Conclusion. Serial measurements of cervical length is required for twin pregnancies after ART for the timely diagnosis of cervical insufficiency, its correction and prevention of very early and very early preterm labor.

Keywords:

cervical insufficiency
multiple pregnancy
assisted reproductive technologies
transvaginal cervical measurement
preterm birth

Authors:

Fassahova A.F.

FSBI «Ural Research Institute of Maternity and Infancy Welfare», Yekaterinburg, Russia, 620028

Mal'gina G.B.

FGBU "Ural'skiĭ nauchno-issledovatel'skiĭ institut okhrany materinstva i mladenchestva" Minzdrava Rossii, Ekaterinburg, Rossiia

Dankova I.V.

Ural Research Institute of Maternal and Infant Care, Ministry of Health of the Russian Federation, Yekaterinburg, Russia

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References:

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