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https://hdl.handle.net/2440/8108
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Type: | Journal article |
Title: | Controversies regarding cervical incompetence, short cervix, and the need for cerclage |
Author: | Althuisius, S. Dekker, G. |
Citation: | Clinics in Perinatology, 2004; 31(4):695-720 |
Publisher: | W B Saunders Co |
Issue Date: | 2004 |
ISSN: | 0095-5108 1557-9840 |
Abstract: | Cervical incompetence (CI) is not an all or nothing phenomenon but a continuous variable. CI and preterm labor are not distinct entities but rather part of a spectrum leading to preterm delivery. Cervical length (CL) is an independent variable in the prediction of preterm delivery, to which it is inversely related. Application of a primary transvaginal cervical cerclage appears to be an unnecessary intervention in about 50% of women presenting with a history suggesting cervical incompetence. A better alternative for women with a history of or risk factors for CI is transvaginal ultrasonographic follow-up of CL. To facilitate the comparison of studies of CI, the authors suggest a nomenclature reflecting the different stages of prevention: primary, secondary, and tertiary transvaginal cervical cerclage. |
Keywords: | Cervix Uteri Humans Ultrasonography, Prenatal Cerclage, Cervical Suture Techniques Pregnancy Uterine Cervical Incompetence Female Obstetric Labor, Premature |
Description: | Copyright © 2004 Elsevier Inc. |
DOI: | 10.1016/j.clp.2004.06.009 |
Description (link): | http://www.elsevier.com/wps/find/journaldescription.cws_home/623324/description#description |
Published version: | http://dx.doi.org/10.1016/j.clp.2004.06.009 |
Appears in Collections: | Aurora harvest Obstetrics and Gynaecology publications |
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