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Management of Short Cervix during Pregnancy: A Review.

Publication ,  Journal Article
Gilner, J; Biggio, J
Published in: Am J Perinatol
February 2016

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.

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Published In

Am J Perinatol

DOI

EISSN

1098-8785

Publication Date

February 2016

Volume

33

Issue

3

Start / End Page

245 / 252

Location

United States

Related Subject Headings

  • Progesterone
  • Premature Birth
  • Pregnancy, Multiple
  • Pregnancy
  • Pessaries
  • Obstetrics & Reproductive Medicine
  • Infant, Newborn
  • Humans
  • Female
  • Cervix Uteri
 

Citation

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Gilner, J., & Biggio, J. (2016). Management of Short Cervix during Pregnancy: A Review. Am J Perinatol, 33(3), 245–252. https://doi.org/10.1055/s-0035-1571145
Gilner, Jennifer, and Joseph Biggio. “Management of Short Cervix during Pregnancy: A Review.Am J Perinatol 33, no. 3 (February 2016): 245–52. https://doi.org/10.1055/s-0035-1571145.
Gilner J, Biggio J. Management of Short Cervix during Pregnancy: A Review. Am J Perinatol. 2016 Feb;33(3):245–52.
Gilner, Jennifer, and Joseph Biggio. “Management of Short Cervix during Pregnancy: A Review.Am J Perinatol, vol. 33, no. 3, Feb. 2016, pp. 245–52. Pubmed, doi:10.1055/s-0035-1571145.
Gilner J, Biggio J. Management of Short Cervix during Pregnancy: A Review. Am J Perinatol. 2016 Feb;33(3):245–252.
Journal cover image

Published In

Am J Perinatol

DOI

EISSN

1098-8785

Publication Date

February 2016

Volume

33

Issue

3

Start / End Page

245 / 252

Location

United States

Related Subject Headings

  • Progesterone
  • Premature Birth
  • Pregnancy, Multiple
  • Pregnancy
  • Pessaries
  • Obstetrics & Reproductive Medicine
  • Infant, Newborn
  • Humans
  • Female
  • Cervix Uteri