| The patient with asymptomatic shortened cervix at 23 to 28 weeks: is delivery imminent? | |
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MedLine Citation:
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PMID: 19685419 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Fadi G Mirza; Michael House; Sabrina D Craigo; Adam C Urato |
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Publication Detail:
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Type: Journal Article Date: 2009-08-14 |
Journal Detail:
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Title: American journal of perinatology Volume: 27 ISSN: 1098-8785 ISO Abbreviation: Am J Perinatol Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2009-12-24 Completed Date: 2010-03-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8405212 Medline TA: Am J Perinatol Country: United States |
Other Details:
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Languages: eng Pagination: 37-40 Citation Subset: IM |
Copyright Information:
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Thieme Medical Publishers. |
Affiliation:
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Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York 10032, USA. fgm2107@columbia.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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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