Cervical incompetence: A reappraisal of an obstetric controversy

Simple item page
dc.contributor.authorAlthuisius, S.
dc.contributor.authorDekker, G.
dc.contributor.authorvan Geijn, H.
dc.date.issued2002
dc.description.abstractCervical incompetence is not a categoric but rather a continuous variable, meaning that there are various degrees in the competency of the cervix. Furthermore, a certain degree of competency of the cervix can be expressed differently in subsequent pregnancies. Women with risk factors for cervical incompetence in their gynecological/obstetric history should be followed by transvaginal ultrasonography. History alone is not an indication for a prophylactic cerclage. Although transvaginal ultrasonography identifies women at high risk of preterm delivery, it does not discriminate between different underlying pathologies. Short cervical length alone is not an indication for a therapeutic cerclage. Serial transvaginal ultrasonographic measurements of cervical length in women with risk factors can identify those women truly at high risk of preterm delivery. A transvaginal cervical cerclage with bed rest reduces preterm delivery and improves perinatal outcome in women with a short cervical length and risk factors for cervical incompetence.
dc.description.statementofresponsibilitySietske M. Althuisius, Gustaaf A. Dekker, and Herman P. van Geijn
dc.description.urihttp://journals.lww.com/obgynsurvey/Abstract/2002/06000/Cervical_Incompetence__A_Reappraisal_of_an.23.aspx
dc.identifier.citationObstetrical and Gynecological Survey, 2002; 57(6):377-387
dc.identifier.doi10.1097/00006254-200206000-00023
dc.identifier.issn0029-7828
dc.identifier.issn1533-9866
dc.identifier.orcidDekker, G. [0000-0002-7362-6683]
dc.identifier.urihttp://hdl.handle.net/2440/8421
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.rights© 2002 Lippincott Williams & Wilkins, Inc.
dc.source.urihttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006254-200206000-00023&LSLINK=80&D=ovft
dc.subjectCervix Uteri
dc.subjectHumans
dc.subjectUltrasonography
dc.subjectBed Rest
dc.subjectCerclage, Cervical
dc.subjectRisk Factors
dc.subjectPregnancy
dc.subjectUterine Cervical Incompetence
dc.subjectFemale
dc.subjectObstetric Labor, Premature
dc.titleCervical incompetence: A reappraisal of an obstetric controversy
dc.typeJournal article
pubs.publication-statusPublished

Files

Collections

Obstetrics and Gynaecology publications