Publications by authors named "B Koullali"

Background: Previous spontaneous preterm birth (sPTB) is a strong risk indicator for recurrent preterm birth (PTB). Cervical cerclage is an accepted intervention to prevent recurrent PTB in high risk patients. Cervical pessary might be a less invasive alternative.

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Objective: To compare the effectiveness of cervical pessary and vaginal progesterone in the prevention of adverse perinatal outcomes and preterm birth in pregnant women of singletons with no prior spontaneous preterm birth at less than 34 weeks' gestation and who have a short cervix of 35 mm or less.

Design: Open label, multicentre, randomised, controlled trial.

Setting: 20 hospitals and five obstetric ultrasound practices in the Netherlands.

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Article Synopsis
  • Cervical length is crucial for predicting spontaneous preterm birth, but methods for its measurement vary, prompting a study to compare six techniques, both with and without including the cervico-isthmic complex (CIC).
  • The study analyzed 1,691 women between 18-22 weeks of pregnancy, finding significant differences in cervical lengths across measurement techniques, with some methods showing considerable variation (over 8 mm).
  • The positive predictive values for spontaneous preterm birth measured by these techniques varied widely from 42.9% to 20.0%, indicating the importance of the chosen measurement method.
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Background: Preterm birth is the leading cause of perinatal mortality and neonatal morbidity worldwide. Many factors have been associated with preterm birth, including parity. The aim of the present study was to investigate associations between parity and risk of spontaneous preterm birth.

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Objective: Preterm birth is the most important cause of perinatal morbidity and mortality. Over the past years several preventive measures have been studied and implemented. Preterm birth percentage in 2015 in the Netherlands was 6.

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