Prediction of Preterm Birth in Women with Short Cervix
| Autor: | Abdullah Mousa M Almadani, Ruya Abdulaziz Althomali, Ahmed Saeed H. Alqahtani, Bshaer Haji A Alrizq, Eman Najib M Alsafwani, Dina Nasser Aldhaban, Khlood Ibraheem H, Ayah Ali Mohammed Mohammed, Rasha Ali Ahmed Abuandoos, Alanoud Abdulrahman Ali Alshamrani |
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| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | The Egyptian Journal of Hospital Medicine. 67:726-730 |
| ISSN: | 2090-7125 1687-2002 |
| DOI: | 10.12816/0037828 |
| Popis: | Background: Second trimester short cervical length identifies women at increased risk for an early spontaneous Preterm birth (sPTB), hence raising a compelling needed for Cervical Assessment for prediction and possible Preventing Preterm Delivery. Objective of the study: to assess the implications associated with a short cervical length as well as the use of ultrasonographic-derived cervical length measurement in predicting preterm birth. Methods: the present review includes relevant randomized controlled trials (RCTs) that investigated the in Medline (via PubMed), Cochrane Library and Embase. Retrospective and Prospective Cohort studies, Case-control and Randomised controlled trials. There were no restrictions by outcomes examined, language or publication status. Results: The critical search results yielded 6 articles (randomized trials=2, cohort studies=3, case-control study=1) representing 653 patients . Five of the 6 presented similar pregnancy outcomes (spontaneous preterm birth or pregnancy loss < 24 weeks’ gestation) between the ultrasound-indicated and the history-indicated cerclage groups. 45–69% of the patients followed with cervical ultrasound were able to avoid cerclage. Conclusion: Evidence from randomized trials supports that transvaginal ultrasound is predictive of preterm birth in women with prior preterm birth and a short cervix. The thresholds proposed vary from 15 mm to 28 mm and cerclage is thus recommended. |
| Databáze: | OpenAIRE |
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