A Short Cervical Length in Pregnancy: Management Options

被引:7
作者
Sinno, Abdulrahman [1 ]
Usta, Ihab M. [1 ]
Nassar, Anwar H. [1 ]
机构
[1] Amer Univ Beirut, Med Ctr, Dept Obstet & Gynecol, Beirut 11032090, Lebanon
关键词
Short cervical length; management; cerclage; progestational agents; RECURRENT PRETERM DELIVERY; CERCLAGE TRIAL CIPRACT; HIGH-RISK; TRANSVAGINAL ULTRASOUND; PROPHYLACTIC CERCLAGE; UTERINE CONTRACTIONS; INDICATED CERCLAGE; WOMEN; BIRTH; PREVENTION;
D O I
10.1055/s-0029-1239495
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Measuring cervical length using transvaginal ultrasonography is a useful tool to predict the risk of preterm birth in low- and high-risk pregnancies. Management of a short cervix poses a significant dilemma for clinicians. Different management plans have been proposed and studied, with mixed results in different clinical settings. This article reviews the various management options in the different patient subpopulations and proposes a scheme for management once a short cervix is identified.
引用
收藏
页码:761 / 770
页数:10
相关论文
共 73 条
[31]   Cervical length and prediction of preterm delivery [J].
Grimes-Dennis, Jacqueline ;
Berghella, Vincenzo .
CURRENT OPINION IN OBSTETRICS & GYNECOLOGY, 2007, 19 (02) :191-195
[32]   Elective cervical cerclage versus serial ultrasound surveillance of cervical length in a population at high risk for preterm delivery [J].
Groom, KM ;
Bennett, PR ;
Golara, M ;
Thalon, A ;
Shennan, AH .
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2004, 112 (02) :158-161
[33]   Cervical length and spontaneous prematurity: laying the foundation for future interventional randomized trials for the short cervix [J].
Guzman, ER ;
Ananth, CV .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2001, 18 (03) :195-199
[34]   Pregnancy outcomes in women treated with elective versus ultrasound-indicated cervical cerclage [J].
Guzman, ER ;
Forster, JK ;
Vintzileos, AM ;
Ananth, CV ;
Walters, C ;
Gipson, K .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 1998, 12 (05) :323-327
[35]   Use of cervical ultrasonography in prediction of spontaneous preterm birth in triplet gestations [J].
Guzman, ER ;
Walters, C ;
O'Reilly-Green, C ;
Meirowitz, NB ;
Gipson, K ;
Nigam, J ;
Vintzileos, AM .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2000, 183 (05) :1108-1113
[36]   Use of cervical ultrasonography in prediction of spontaneous preterm birth in twin gestations [J].
Guzman, ER ;
Walters, C ;
O'Reilly-Green, C ;
Kinzler, WL ;
Waldron, R ;
Nigam, J ;
Vintzileos, AM .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2000, 183 (05) :1103-1107
[37]   Routine cervical length in twins and perinatal outcomes [J].
Gyamfi, Cynthia ;
Lerner, Veronica ;
Holzman, Ian ;
Stone, Joanne L. .
AMERICAN JOURNAL OF PERINATOLOGY, 2007, 24 (01) :65-69
[38]   CERVICAL CERCLAGE - PATIENT SELECTION, MORBIDITY, AND SUCCESS RATES [J].
HARGER, JH .
CLINICS IN PERINATOLOGY, 1983, 10 (02) :321-341
[39]   A sonographic short cervix as the only clinical manifestation of intra-amniotic infection [J].
Hassan, S ;
Romero, R ;
Hendler, I ;
Gomez, R ;
Khalek, N ;
Espinoza, J ;
Nien, JK ;
Berry, SM ;
Bujold, E ;
Camacho, N ;
Sorokin, Y .
JOURNAL OF PERINATAL MEDICINE, 2006, 34 (01) :13-19
[40]   Patients with an ultrasonographic cervical length ≤15 mm have nearly a 50% risk of early spontaneous preterm delivery [J].
Hassan, SS ;
Romero, R ;
Berry, SM ;
Dang, K ;
Blackwell, SC ;
Treadwell, MC ;
Wolfe, HH .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2000, 182 (06) :1458-1464