Background: Second trimester short cervical length identifies women at increased risk for an early spontaneous Preterm birth (sPTB), hence raising a compelling needed for Cervical Assessment for prediction and possible Preventing Preterm Delivery. Objective of the study: to assess the implications associated with a short cervical length as well as the use of ultrasonographic-derived cervical length measurement in predicting preterm birth. Methods: the present review includes relevant randomized controlled trials (RCTs) that investigated the in Medline (via PubMed), Cochrane Library and Embase. Retrospective and Prospective Cohort studies, Case-control and Randomised controlled trials. There were no restrictions by outcomes examined, language or publication status. Results: The critical search results yielded 6 articles (randomized trials=2, cohort studies=3, case-control study=1) representing 653 patients . Five of the 6 presented similar pregnancy outcomes (spontaneous preterm birth or pregnancy loss < 24 weeks’ gestation) between the ultrasound-indicated and the history-indicated cerclage groups. 45–69% of the patients followed with cervical ultrasound were able to avoid cerclage. Conclusion: Evidence from randomized trials supports that transvaginal ultrasound is predictive of preterm birth in women with prior preterm birth and a short cervix. The thresholds proposed vary from 15 mm to 28 mm and cerclage is thus recommended.
Almadani, A. M. M., Abuandoos, R. A. A., Althomali, R. A., Aldhaban, D. N., Alshamrani, A. A. A., Alqahtani, A. S. H., Alrizq, B. H. A., Alsafwani, E. N. M., H, K. I., & Mohammed, A. A. M. (2017). Prediction of Preterm Birth in Women with Short Cervix. The Egyptian Journal of Hospital Medicine, 67(2), 726-730. doi: 10.12816/0037828
MLA
Abdullah Mousa M Almadani; Rasha Ali Ahmed Abuandoos; Ruya Abdulaziz Althomali; Dina Nasser Aldhaban; Alanoud Abdulrahman Ali Alshamrani; Ahmed Saeed H. Alqahtani; Bshaer Haji A Alrizq; Eman Najib M Alsafwani; Khlood Ibraheem H; Ayah Ali Mohammed Mohammed. "Prediction of Preterm Birth in Women with Short Cervix", The Egyptian Journal of Hospital Medicine, 67, 2, 2017, 726-730. doi: 10.12816/0037828
HARVARD
Almadani, A. M. M., Abuandoos, R. A. A., Althomali, R. A., Aldhaban, D. N., Alshamrani, A. A. A., Alqahtani, A. S. H., Alrizq, B. H. A., Alsafwani, E. N. M., H, K. I., Mohammed, A. A. M. (2017). 'Prediction of Preterm Birth in Women with Short Cervix', The Egyptian Journal of Hospital Medicine, 67(2), pp. 726-730. doi: 10.12816/0037828
VANCOUVER
Almadani, A. M. M., Abuandoos, R. A. A., Althomali, R. A., Aldhaban, D. N., Alshamrani, A. A. A., Alqahtani, A. S. H., Alrizq, B. H. A., Alsafwani, E. N. M., H, K. I., Mohammed, A. A. M. Prediction of Preterm Birth in Women with Short Cervix. The Egyptian Journal of Hospital Medicine, 2017; 67(2): 726-730. doi: 10.12816/0037828
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