Management of Short Cervix during Pregnancy: A Review.

Published

Journal Article (Review)

Sonographic evaluation of the uterine cervix has evolved as one of the best clinical tools available for the prediction of subsequent spontaneous preterm birth (PTB), particularly when combined with prior poor obstetric history. There is a growing body of evidence describing interventions for short cervix that reduce the risk of preterm delivery and improve neonatal outcomes. Yet, given the significant heterogeneity in the pathways that lead to PTB, understanding the specific clinical characteristics of women who may benefit from a given intervention is critical to appropriate implementation. The three primary management strategies that have demonstrated improvement in obstetric and/or perinatal outcomes for appropriately selected women with a sonographically short cervix (vaginal progesterone, cervical cerclage, and pessary) are the subject of this review. In addition, the unique considerations of multiple pregnancies are discussed separately from singletons.

Full Text

Duke Authors

Cited Authors

  • Gilner, J; Biggio, J

Published Date

  • February 2016

Published In

Volume / Issue

  • 33 / 3

Start / End Page

  • 245 - 252

PubMed ID

  • 26788787

Pubmed Central ID

  • 26788787

Electronic International Standard Serial Number (EISSN)

  • 1098-8785

International Standard Serial Number (ISSN)

  • 0735-1631

Digital Object Identifier (DOI)

  • 10.1055/s-0035-1571145

Language

  • eng