Controversies regarding cervical incompetence, short cervix, and the need for cerclage
| Autor: | Gus Dekker, Sietske Althuisius |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Preterm labor medicine.medical_treatment Cervix Uteri Ultrasonography Prenatal Continuous variable Obstetric Labor Premature Pregnancy medicine Humans Cervical cerclage Neonatology Preterm delivery Cerclage Cervical Gynecology Hooping Obstetrics business.industry Suture Techniques Obstetrics and Gynecology medicine.disease Short cervix Pediatrics Perinatology and Child Health Female Uterine Cervical Incompetence business |
| Zdroj: | Clinics in Perinatology. 31:695-720 |
| ISSN: | 0095-5108 |
| DOI: | 10.1016/j.clp.2004.06.009 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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