Document Detail

Transvaginal sonographic evaluation of the cervix in asymptomatic singleton pregnancy and management options in short cervix.
MedLine Citation:
PMID:  22523687     Owner:  NLM     Status:  MEDLINE    
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.
Resul Arisoy; Murat Yayla
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Publication Detail:
Type:  Journal Article; Review     Date:  2012-02-22
Journal Detail:
Title:  Journal of pregnancy     Volume:  2012     ISSN:  2090-2735     ISO Abbreviation:  J Pregnancy     Publication Date:  2012  
Date Detail:
Created Date:  2012-04-23     Completed Date:  2013-06-03     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  101553823     Medline TA:  J Pregnancy     Country:  Egypt    
Other Details:
Languages:  eng     Pagination:  201628     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, Gole State Hospital, 34660 Ardahan, Turkey.
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MeSH Terms
Asymptomatic Diseases
Biological Markers / metabolism
Cerclage, Cervical
Cervical Length Measurement / methods*
Premature Birth / diagnosis,  metabolism,  prevention & control,  ultrasonography*
Progesterone / therapeutic use
Progestins / therapeutic use
Risk Assessment
Sensitivity and Specificity
Reg. No./Substance:
0/Biological Markers; 0/Progestins; 57-83-0/Progesterone

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

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