Current options for mechanical prevention of preterm birth.
Publication/Presentation Date
12-1-2017
Abstract
Cervical insufficiency can be defined by a combination of obstetric history, cervical dilation on exam, and/or short cervical length in women with prior preterm birth. Options for mechanical intervention include cerclage and pessary. There is evidence to support the benefit of a cervical cerclage in women with singleton gestations who have a diagnosis of cervical insufficiency either based on second trimester painless cervical dilatation leading to recurrent early preterm births, or a history of early spontaneous preterm birth and a second trimester transvaginal ultrasound short cervical length or cervical dilation on exam. For women with multiple gestations, the benefit of a cerclage is uncertain, and further study is warranted. The pessary has also been studied for mechanical prevention of preterm birth in various populations, however the results so far have been mixed and warrants further study prior to routine use.
Volume
41
Issue
8
First Page
452
Last Page
460
ISSN
1558-075X
Published In/Presented At
Boelig, R. C., & Berghella, V. (2017). Current options for mechanical prevention of preterm birth. Seminars in perinatology, 41(8), 452–460. https://doi.org/10.1053/j.semperi.2017.08.003
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
29033106
Department(s)
Administration and Leadership
Document Type
Article