| Transvaginal sonographic evaluation of the cervix in asymptomatic singleton pregnancy and management options in short cervix. | |
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MedLine Citation:
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PMID: 22523687 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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Preterm delivery (PTD), defined as birth before 37 completed weeks of gestation, is the leading cause of perinatal morbidity and mortality. Evaluation of the cervical morphology and biometry with transvaginal ultrasonography at 16-24 weeks of gestation is a useful tool to predict the risk of preterm birth in low- and high-risk singleton pregnancies. For instance, a sonographic cervical length (CL) > 30 mm and present cervical gland area have a 96-97% negative predictive value for preterm delivery at <37 weeks. Available evidence supports the use of progesterone to women with cervical length ≤25 mm, irrespective of other risk factors. In women with prior spontaneous PTD with asymptomatic cervical shortening (CL ≤ 25 mm), prophylactic cerclage procedure must be performed and weekly to every two weeks follow-up is essential. This article reviews the evidence in support of the clinical introduction of transvaginal sonography for both the prediction and management of spontaneous preterm labour. |
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Authors:
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Resul Arisoy; Murat Yayla |
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Publication Detail:
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Type: Journal Article Date: 2012-02-22 |
Journal Detail:
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Title: Journal of pregnancy Volume: 2012 ISSN: 2090-2735 ISO Abbreviation: J Pregnancy Publication Date: 2012 |
Date Detail:
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Created Date: 2012-04-23 Completed Date: 2012-08-23 Revised Date: 2013-02-28 |
Medline Journal Info:
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Nlm Unique ID: 101553823 Medline TA: J Pregnancy Country: Egypt |
Other Details:
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Languages: eng Pagination: 201628 Citation Subset: - |
Affiliation:
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Department of Obstetrics and Gynaecology, Gole State Hospital, 34660 Ardahan, Turkey. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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