Short Cervical Length Dilemma - 21/05/15

Résumé |
Preterm birth (PTB) is a leading cause of neonatal morbidity and mortality. With research efforts, the rate of PTB decreased to 11.4% in 2013. Transvaginal ultrasound (TVU) cervical length (CL) screening predicts PTB. In asymptomatic singletons without prior spontaneous PTB (sPTB), TVU CL screening should be done. If the cervix is 20 mm or less, vaginal progesterone is indicated. In asymptomatic singletons with prior sPTB, serial CL screening is indicated. In multiple gestations, routine cervical screening is not indicated. In symptomatic women with preterm labor, TVU CL screening and fetal fibronectin testing is recommended.
Le texte complet de cet article est disponible en PDF.Keywords : Short cervix, Preterm birth, Progesterone, Cerclage, Pessary, Cervical length
Plan
| The authors have nothing to disclose. |
Vol 42 - N° 2
P. 241-254 - juin 2015 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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