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Clin Obstet Gynecol · Sep 2017
Cervical Evaluation in Pregnancy: Proper Measurement, Evaluation, and Management.
- Joseph R Wax, Angelina Cartin, and Michael G Pinette.
- Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Maine Medical Center, Portland, Maine.
- Clin Obstet Gynecol. 2017 Sep 1; 60 (3): 608-620.
AbstractPreterm birth is the leading cause of perinatal morbidity and mortality in developed nations. The heterogeneous causes of spontaneous preterm birth make prediction and prevention difficult. The primary importance of transvaginal cervical sonography and cervicovaginal fetal fibronectin lies in their high negative predictive values in assessing risk for preterm birth. Cervical length may be useful in identifying women who are candidates for cervical cerclage or progesterone therapy for preterm birth prevention. Together, cervical length and fibronectin can be used in the triaging of women symptomatic for preterm labor.
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