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https://hdl.handle.net/2440/8421
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Type: | Journal article |
Title: | Cervical incompetence: A reappraisal of an obstetric controversy |
Author: | Althuisius, S. Dekker, G. van Geijn, H. |
Citation: | Obstetrical and Gynecological Survey, 2002; 57(6):377-387 |
Publisher: | Lippincott Williams & Wilkins |
Issue Date: | 2002 |
ISSN: | 0029-7828 1533-9866 |
Statement of Responsibility: | Sietske M. Althuisius, Gustaaf A. Dekker, and Herman P. van Geijn |
Abstract: | Cervical incompetence is not a categoric but rather a continuous variable, meaning that there are various degrees in the competency of the cervix. Furthermore, a certain degree of competency of the cervix can be expressed differently in subsequent pregnancies. Women with risk factors for cervical incompetence in their gynecological/obstetric history should be followed by transvaginal ultrasonography. History alone is not an indication for a prophylactic cerclage. Although transvaginal ultrasonography identifies women at high risk of preterm delivery, it does not discriminate between different underlying pathologies. Short cervical length alone is not an indication for a therapeutic cerclage. Serial transvaginal ultrasonographic measurements of cervical length in women with risk factors can identify those women truly at high risk of preterm delivery. A transvaginal cervical cerclage with bed rest reduces preterm delivery and improves perinatal outcome in women with a short cervical length and risk factors for cervical incompetence. |
Keywords: | Cervix Uteri Humans Ultrasonography Bed Rest Cerclage, Cervical Risk Factors Pregnancy Uterine Cervical Incompetence Female Obstetric Labor, Premature |
Rights: | © 2002 Lippincott Williams & Wilkins, Inc. |
DOI: | 10.1097/00006254-200206000-00023 |
Description (link): | http://journals.lww.com/obgynsurvey/Abstract/2002/06000/Cervical_Incompetence__A_Reappraisal_of_an.23.aspx |
Published version: | http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006254-200206000-00023&LSLINK=80&D=ovft |
Appears in Collections: | Aurora harvest Obstetrics and Gynaecology publications |
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