Short cervical length dilemma

Preterm birth (PTB) is a leading cause of neonatal morbidity and mortality. With research efforts, the rate of PTB decreased to 11.4% in 2013. Transvaginal ultrasound (TVU) cervical length (CL) screening predicts PTB. In asymptomatic singletons without prior spontaneous PTB (sPTB), TVU CL screening...

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Bibliographic Details
Published inObstetrics and gynecology clinics of North America Vol. 42; no. 2; p. 241
Main Authors Suhag, Anju, Berghella, Vincenzo
Format Journal Article
LanguageEnglish
Published United States 01.06.2015
Subjects
Administration, Intravaginal
Adult
Cerclage, Cervical - methods
Cervical Length Measurement - methods
Cervix Uteri - abnormalities
Cervix Uteri - diagnostic imaging
Cervix Uteri - pathology
Female
Humans
Infant
Infant Mortality
Infant, Newborn
Obstetric Labor, Premature - diagnostic imaging
Organ Size
Pregnancy
Premature Birth - diagnostic imaging
Premature Birth - prevention & control
Progesterone - administration & dosage
Progestins - administration & dosage
Risk Factors
Vagina - diagnostic imaging
Vagina - drug effects
Preterm birth
Progesterone
Cerclage
Cervical length
Pessary
Short cervix
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Summary:Preterm birth (PTB) is a leading cause of neonatal morbidity and mortality. With research efforts, the rate of PTB decreased to 11.4% in 2013. Transvaginal ultrasound (TVU) cervical length (CL) screening predicts PTB. In asymptomatic singletons without prior spontaneous PTB (sPTB), TVU CL screening should be done. If the cervix is 20 mm or less, vaginal progesterone is indicated. In asymptomatic singletons with prior sPTB, serial CL screening is indicated. In multiple gestations, routine cervical screening is not indicated. In symptomatic women with preterm labor, TVU CL screening and fetal fibronectin testing is recommended.
ISSN:1558-0474
DOI:10.1016/j.ogc.2015.01.003