Document Detail


The patient with asymptomatic shortened cervix at 23 to 28 weeks: is delivery imminent?
MedLine Citation:
PMID:  19685419     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We investigated whether the presence of symptoms predicts the timing of subsequent spontaneous preterm birth in a cohort of women with cervical length (CL) <1.5 cm. A retrospective cohort study was conducted that included patients from 23 to 28 weeks' gestation with a CL <1.5 cm on routine ultrasound. Two groups were defined on the basis of presenting symptoms at the time of the ultrasound examination: asymptomatic patients and those with symptoms of preterm labor. The incidence of delivery within 2 weeks was determined for both groups. A total of 88 patients with CL <1.5 cm were identified from an ultrasound database. There were 52 patients with CL <1.5 cm and no symptoms. Of these, 1 (1.9%) delivered within 2 weeks. The remaining 36 patients had a CL <1.5 cm and symptoms of preterm labor. Of these, 11 (30.6%) delivered within 2 weeks (relative risk 15.9, 95% confidence interval 2.1 to 118). Premature cervical shortening at 23 to 28 weeks, in the absence of symptoms of preterm labor, is rarely associated with preterm delivery within 2 weeks. Following those patients clinically may prevent prolonged hospitalization and allow steroid administration closer to the date of delivery.
Authors:
Fadi G Mirza; Michael House; Sabrina D Craigo; Adam C Urato
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Publication Detail:
Type:  Journal Article     Date:  2009-08-14
Journal Detail:
Title:  American journal of perinatology     Volume:  27     ISSN:  1098-8785     ISO Abbreviation:  Am J Perinatol     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2009-12-24     Completed Date:  2010-03-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  37-40     Citation Subset:  IM    
Copyright Information:
Thieme Medical Publishers.
Affiliation:
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York 10032, USA. fgm2107@columbia.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Cervical Length Measurement
Cervix Uteri / pathology,  ultrasonography*
Cohort Studies
Female
Gestational Age
Humans
Obstetric Labor, Premature / pathology,  ultrasonography*
Organ Size
Pregnancy
Premature Birth / pathology,  ultrasonography*
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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