Journal
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
Volume 215, Issue 3, Pages B2-B7Publisher
MOSBY-ELSEVIER
DOI: 10.1016/j.ajog.2016.04.027
Keywords
cervical insufficiency; cervical length; cervical length screening; preterm birth; short cervix; spontaneous preterm birth; transvaginal ultrasound
Categories
Ask authors/readers for more resources
Preterm birth remains a major cause of neonatal death and short and long-term disability in the US and across the world. The majority of preterm births are spontaneous and cervical length screening is one tool that can be utilized to identify women at increased risk who may be candidates for preventive interventions. The purpose of this document is to review the indications and rationale for cervical length screening to prevent preterm birth in various clinical scenarios. The Society for Maternal- Fetal Medicine recommends (1) routine transvaginal cervical length screening for women with singleton pregnancy and history of prior spontaneous preterm birth (GRADE 1A); (2) routine transvaginal cervical length screening not be performed for women with cervical cerclage, multiple gestation, preterm premature rupture of membranes, or placenta previa (GRADE 2B); (3) practitioners who decide to implement universal cervical length screening follow strict guidelines (GRADE 2B); (4) sonographers and/or practitioners receive specific training in the acquisition and interpretation of cervical imaging during pregnancy (GRADE 2B).
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available