• Obstet. Gynecol. Clin. North Am. · Jun 2015

    Review

    Short cervical length dilemma.

    • Anju Suhag and Vincenzo Berghella.
    • Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Sidney Kimmel Medical College, Thomas Jefferson University, 833 Chestnut Street, First Floor, Philadelphia, PA 19107, USA.
    • Obstet. Gynecol. Clin. North Am. 2015 Jun 1; 42 (2): 241-54.

    AbstractPreterm birth (PTB) is a leading cause of neonatal morbidity and mortality. With research efforts, the rate of PTB decreased to 11.4% in 2013. Transvaginal ultrasound (TVU) cervical length (CL) screening predicts PTB. In asymptomatic singletons without prior spontaneous PTB (sPTB), TVU CL screening should be done. If the cervix is 20 mm or less, vaginal progesterone is indicated. In asymptomatic singletons with prior sPTB, serial CL screening is indicated. In multiple gestations, routine cervical screening is not indicated. In symptomatic women with preterm labor, TVU CL screening and fetal fibronectin testing is recommended.Copyright © 2015 Elsevier Inc. All rights reserved.

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