Background: The role of first-trimester history-indicated cerclage among women with a twin
pregnancy and a history of preterm birth have not been evaluated.
Objectives; to evaluate the value of cervical cerclage in twin pregnancies as regard of
Pregnancy outcome
Patients and methods:
This is a prospective cohort study was performed in Obstetrics and Gynecology Department Qena
University Hospital, during a period from 1 march 2019 to 1 march 2020". Information about
demographic data, medical history, reproductive history, current pregnancy and its complications
and delivery and its outcomes are obtained.Clinical examinations, laboratory and ultrasonic
assessment of studied group.
Result:98 pregnant women involved in the study andgestational age at delivery of the studied group < br />show that 11(11.2%) their gestational age at delivery was ranged between 12-<28 weeks and
25(25.5%) their gestational Age at delivery was ranged between 28-<37 weeksand 62(63.3%) their
gestational age at delivery was ranged between 37-40 weeks.
Neonatal deaths of studiedgroupwere17(9.77%)of total number (174) of newborns of studiedgroup < br />Conclusion: History-indicated cervical cerclage performed in women with a twin gestation and a
history of preterm birth appeared to have an overall positive effect on maternal and neonatal
outcomes, as evidenced by significantly reduced rates of PPROM, preterm delivery and neonatal
morbidity and mortality.