Title

Cervical Evaluation in Pregnancy: Proper Measurement, Evaluation, and Management.

Document Type

Article

Publication Date

9-2017

Institution/Department

Obstectrics & Gynecology

Journal Title

Clinical Obstetrics & Gynecology

MeSH Headings

Cervix Ultrasonography; Childbirth, Premature Prevention and Control; Cerclage, Cervical; Pregnancy; Female; Perinatal Care Methods; Progesterone Therapeutic Use; Fibronectins In Utero; Endosonography Utilization; Fetus; Fetus, conception to birth; Female

Abstract

Preterm birth is the leading cause of perinatal morbidity and mortality in developed nations. The heterogeneous causes of spontaneous preterm birth make prediction and prevention difficult. The primary importance of transvaginal cervical sonography and cervicovaginal fetal fibronectin lies in their high negative predictive values in assessing risk for preterm birth. Cervical length may be useful in identifying women who are candidates for cervical cerclage or progesterone therapy for preterm birth prevention. Together, cervical length and fibronectin can be used in the triaging of women symptomatic for preterm labor.

First Page

608

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