Cervical assessment by ultrasound for preventing preterm delivery

Abstract

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Cervical length screening for prevention of preterm birth in singleton pregnancy with threatened preterm labor: systematic review and meta‐analysis of randomized controlled trials using individual patient‐level data

“…Our data, which included Level-1 data from well-designed trials, did not support earlier findings of a Cochrane review of five trials 4 . That review, which included also women with PPROM and multiple gestations, concluded that there was insufficient evidence to recommend routine screening of TVS CL in asymptomatic or symptomatic pregnant women 4 .…”

“…Our data, which included Level-1 data from well-designed trials, did not support earlier findings of a Cochrane review of five trials 4 . That review, which included also women with PPROM and multiple gestations, concluded that there was insufficient evidence to recommend routine screening of TVS CL in asymptomatic or symptomatic pregnant women 4 . Recently, a meta-analysis of six RCTs, including 546 singleton gestations with symptoms of PTL, showed that FFN testing alone in women with threatened PTL was not associated with prevention of spontaneous PTB or improvement in perinatal outcome but was associated with higher costs 10 .…”

Cervical length screening for prevention of preterm birth in singleton pregnancy with threatened preterm labor: systematic review and meta‐analysis of randomized controlled trials using individual patient‐level data

“…Our data, which included Level-1 data from well-designed trials, did not support earlier findings of a Cochrane review of five trials 4 . That review, which included also women with PPROM and multiple gestations, concluded that there was insufficient evidence to recommend routine screening of TVS CL in asymptomatic or symptomatic pregnant women 4 .…”

“…Our data, which included Level-1 data from well-designed trials, did not support earlier findings of a Cochrane review of five trials 4 . That review, which included also women with PPROM and multiple gestations, concluded that there was insufficient evidence to recommend routine screening of TVS CL in asymptomatic or symptomatic pregnant women 4 . Recently, a meta-analysis of six RCTs, including 546 singleton gestations with symptoms of PTL, showed that FFN testing alone in women with threatened PTL was not associated with prevention of spontaneous PTB or improvement in perinatal outcome but was associated with higher costs 10 .…”

Comparison of transabdominal and transvaginal sonography in measuring cervical lenghts in midpregnancy

“…Similar results were reported in Heath and Moroz's studies (7,9). Although the correlation of short cervix and preterm labour, routine screening of cervical lenght in pregnant women is not offered because of its insufficiency for detecting preterm labour completely (10)(11)(12). Because preterm labour is a complex process and multifactors may cause preterm labour (13,14).…”

Management of Pregnancy with Cervical Shortening: Real-Life Clinical Challenges

“…The use of a pessary has been proposed as an effective, inexpensive, and easy-toimplement method for prolonging pregnancy in patients with cervical shortening [31,32]. Its efficacy is not supported by the meta-analyses of randomised trials, although some individual trials have reported a reduction in the PTB rates at <34 weeks [6,33]. In our study, the mean gestational age for a pessary placement was 21 weeks, and on average, the CL was 15 mm.…”

Cervical length screening for prevention of preterm birth in singleton pregnancy with threatened preterm labor: systematic review and meta‐analysis of randomized controlled trials using individual patient‐level data

“…Our data, which included Level-1 data from well-designed trials, did not support earlier findings of a Cochrane review of five trials 4 . That review, which included also women with PPROM and multiple gestations, concluded that there was insufficient evidence to recommend routine screening of TVS CL in asymptomatic or symptomatic pregnant women 4 .…”

“…Our data, which included Level-1 data from well-designed trials, did not support earlier findings of a Cochrane review of five trials 4 . That review, which included also women with PPROM and multiple gestations, concluded that there was insufficient evidence to recommend routine screening of TVS CL in asymptomatic or symptomatic pregnant women 4 . Recently, a meta-analysis of six RCTs, including 546 singleton gestations with symptoms of PTL, showed that FFN testing alone in women with threatened PTL was not associated with prevention of spontaneous PTB or improvement in perinatal outcome but was associated with higher costs 10 .…”

Comparison of transabdominal and transvaginal sonography in measuring cervical lenghts in midpregnancy

“…Similar results were reported in Heath and Moroz's studies (7,9). Although the correlation of short cervix and preterm labour, routine screening of cervical lenght in pregnant women is not offered because of its insufficiency for detecting preterm labour completely (10)(11)(12). Because preterm labour is a complex process and multifactors may cause preterm labour (13,14).…”

Management of Pregnancy with Cervical Shortening: Real-Life Clinical Challenges

“…The use of a pessary has been proposed as an effective, inexpensive, and easy-toimplement method for prolonging pregnancy in patients with cervical shortening [31,32]. Its efficacy is not supported by the meta-analyses of randomised trials, although some individual trials have reported a reduction in the PTB rates at <34 weeks [6,33]. In our study, the mean gestational age for a pessary placement was 21 weeks, and on average, the CL was 15 mm.…”

Cervical length screening for prevention of preterm birth in singleton pregnancy with threatened preterm labor: systematic review and meta‐analysis of randomized controlled trials using individual patient‐level data

“…Our data, which included Level-1 data from well-designed trials, did not support earlier findings of a Cochrane review of five trials 4 . That review, which included also women with PPROM and multiple gestations, concluded that there was insufficient evidence to recommend routine screening of TVS CL in asymptomatic or symptomatic pregnant women 4 .…”

“…Our data, which included Level-1 data from well-designed trials, did not support earlier findings of a Cochrane review of five trials 4 . That review, which included also women with PPROM and multiple gestations, concluded that there was insufficient evidence to recommend routine screening of TVS CL in asymptomatic or symptomatic pregnant women 4 . Recently, a meta-analysis of six RCTs, including 546 singleton gestations with symptoms of PTL, showed that FFN testing alone in women with threatened PTL was not associated with prevention of spontaneous PTB or improvement in perinatal outcome but was associated with higher costs 10 .…”

Comparison of transabdominal and transvaginal sonography in measuring cervical lenghts in midpregnancy

“…Similar results were reported in Heath and Moroz's studies (7,9). Although the correlation of short cervix and preterm labour, routine screening of cervical lenght in pregnant women is not offered because of its insufficiency for detecting preterm labour completely (10)(11)(12). Because preterm labour is a complex process and multifactors may cause preterm labour (13,14).…”

Management of Pregnancy with Cervical Shortening: Real-Life Clinical Challenges

“…The use of a pessary has been proposed as an effective, inexpensive, and easy-toimplement method for prolonging pregnancy in patients with cervical shortening [31,32]. Its efficacy is not supported by the meta-analyses of randomised trials, although some individual trials have reported a reduction in the PTB rates at <34 weeks [6,33]. In our study, the mean gestational age for a pessary placement was 21 weeks, and on average, the CL was 15 mm.…”