The Australian & New Zealand journal of obstetrics & gynaecology
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Aust N Z J Obstet Gynaecol · Oct 2005
Transvaginal cervical length measurement; its current application in a regional Australian level II maternity hospital.
To evaluate the impact of cervical length (CL) measurements in pregnant women at risk for preterm delivery on intervention and pregnancy outcome. ⋯ For patients with a high-risk obstetrical history, a first cervical length measurement at the time of foetal morphology scan followed by one measurement at about 24 weeks would result in a timely diagnosis of almost all cases of clinically relevant cervical shortening. Just having a twin pregnancy, in the absence of other risk factors for preterm birth, does not require cervical length monitoring. Having a twin pregnancy plus additional risk factors clearly identifies a group requiring cervical length measurement and intervention. Previous LLETZ procedures or >or= 3 preceding curettages were not found to be a major risk factor for preterm birth.
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Aust N Z J Obstet Gynaecol · Apr 2005
Randomized Controlled Trial Comparative Study Clinical TrialA randomised trial of surgical, medical and expectant management of first trimester spontaneous miscarriage.
Medical management and expectant care have been considered possible alternatives to surgical evacuation of the uterus for first trimester spontaneous miscarriage in recent years. ⋯ Expectant care appears to be sufficiently safe and effective to be offered as an option for women. Medical management might carry a higher risk of infection than surgical or expectant care.