Controversies regarding cervical incompetence, short cervix, and the need for cerclage
| dc.contributor.author | Althuisius, S. | |
| dc.contributor.author | Dekker, G. | |
| dc.date.issued | 2004 | |
| dc.description | Copyright © 2004 Elsevier Inc. | |
| dc.description.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. | |
| dc.description.uri | http://www.elsevier.com/wps/find/journaldescription.cws_home/623324/description#description | |
| dc.identifier.citation | Clinics in Perinatology, 2004; 31(4):695-720 | |
| dc.identifier.doi | 10.1016/j.clp.2004.06.009 | |
| dc.identifier.issn | 0095-5108 | |
| dc.identifier.issn | 1557-9840 | |
| dc.identifier.orcid | Dekker, G. [0000-0002-7362-6683] | |
| dc.identifier.uri | http://hdl.handle.net/2440/8108 | |
| dc.language.iso | en | |
| dc.publisher | W B Saunders Co | |
| dc.source.uri | https://doi.org/10.1016/j.clp.2004.06.009 | |
| dc.subject | Cervix Uteri | |
| dc.subject | Humans | |
| dc.subject | Ultrasonography, Prenatal | |
| dc.subject | Cerclage, Cervical | |
| dc.subject | Suture Techniques | |
| dc.subject | Pregnancy | |
| dc.subject | Uterine Cervical Incompetence | |
| dc.subject | Female | |
| dc.subject | Obstetric Labor, Premature | |
| dc.title | Controversies regarding cervical incompetence, short cervix, and the need for cerclage | |
| dc.type | Journal article | |
| pubs.publication-status | Published |