Cervical cerclage for singleton pregnant patients on vaginal progesterone with progressive cervical shortening

Premature cervical ripening plays a significant role in spontaneous preterm birth. Vaginal progesterone is the recommended treatment in singleton pregnancy with incidental short cervix. There is lack of evidence on whether it is beneficial to reinforce the cervix with cerclage when the cervical leng...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2018-10, Vol.219 (4), p.397.e1-397.e10
Main Authors: Enakpene, Christopher A., DiGiovanni, Laura, Jones, Tiffany N., Marshalla, Megan, Mastrogiannis, Dimitrios, Della Torre, Micaela
Format: Article
Language:English
Subjects:
Administration, Intravaginal
Cerclage, Cervical - methods
cervical cerclage
Cervical Length Measurement
Cervix Uteri - pathology
Cohort Studies
extreme short cervix < 10 mm
Female
Humans
perinatal outcomes
Pregnancy
pregnancy latency
Premature Birth - prevention & control
Progesterone - administration & dosage
Retrospective Studies
short cervix < 20 mm
singleton pregnancy
spontaneous preterm birth
Treatment Outcome
vaginal progesterone
Young Adult
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Summary:Premature cervical ripening plays a significant role in spontaneous preterm birth. Vaginal progesterone is the recommended treatment in singleton pregnancy with incidental short cervix. There is lack of evidence on whether it is beneficial to reinforce the cervix with cerclage when the cervical length becomes progressively shortened
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2018.06.020