Successful Interval Delivery With Emergency Cerclage Suture in the Postmenopausal Woman at Age of 57: A Case Report
Bibliographic record
Abstract
Pregnancy in women with advanced maternal age following ovum donation is associated with significant maternal and fetal complications which lead to increased risks of prematurity and lower birth weight . A 57-year-old postmenopausal, nulliparous woman with dichorionic pregnancy who had conceived with ovum donation, presented with preterm labor at 26 weeks and 5 days of gestation. Following rupture of the membrane of the protruding sac and delivery of the first twin, an emergency cerclage with tocolytics, antibiotics and corticosteroid therapy was initiated in order to improve the perinatal outcome of the second twin. The cerclage suture was removed after 4 days due to increasing serum C-reactive protein levels and maternal moderate respiratory distress. Both of the neonates survived following hospitalization for 6 weeks in the neonatal intensive care unit. The management described in this case report suggest that delayed interval delivery may be safe for the mother and salvative for the fetus; but both parents and doctors must be realized about its benefits and risks. J Clin Gynecol Obstet. 2014;3(1):50-52 doi: http://dx.doi.org/ 10.14740 /jcgo45w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.006 | 0.004 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".