Transperineal ultrasound in routine uterine cervix measurement

Krief, David; Foulon, Arthur; Tondreau, Ambre; Sergent, F.; Gondry, J.; Chevreau, Julien

doi:10.1007/s00404-022-06521-4

Cited by 3 publications

(4 citation statements)

References 23 publications

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“…In addition, excessive pressure on the probe should be avoided because it can cause abnormal shortening or elongation of the cervical lips with different widths. In a meta-analysis of 57 studies, the mean CL measured using the TVS between 16 and 24 weeks was 37.96 mm (95% confidence interval 36.68-39.24), which was shorter in women from Africa and Asia, in those from low-income countries, with a lower body weight, and in those who delivered before 37 gestational weeks [21,[27][28][29]. Transperineal ultrasound (TPUS) for CL measurement may be offered if TVS is either unacceptable or unavailable [23].…”

Section: Measurement Of CLmentioning

confidence: 99%

“…Transperineal ultrasound (TPUS) for CL measurement may be offered if TVS is either unacceptable or unavailable [23]. TPUS measurements can be performed by moving the abdominal probe sagittally on the perineum without introducing it into the vagina [28]. When a clear image of the cervical line is obtained, the operator completes a linear measurement from the internal orifice to the external orifice.…”

Section: Measurement Of CLmentioning

confidence: 99%

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How to screen the cervix and reduce the risk of spontaneous preterm birth in asymptomatic women without a prior preterm birth

et al. 2023

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Preterm birth (PTB) is a leading cause of perinatal morbidity and mortality globally. PTB rates have increased in South Korea despite reduction in birth rates. A history of PTB is a strong predictor of subsequent PTB and screening of cervical length between 16 0/7 weeks and 24 0/7 weeks of gestation is recommended in women with a singleton pregnancy and a prior spontaneous PTB. However, the prediction and prevention of spontaneous PTBs in women without a prior PTB remain a matter of debate. The scope of this review article comprises cervical screening and prevention strategies for PTB in asymptomatic women without a prior PTB, based on recent evidence and guidelines.

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Section: Measurement Of CLmentioning

confidence: 99%

Section: Measurement Of CLmentioning

confidence: 99%

How to screen the cervix and reduce the risk of spontaneous preterm birth in asymptomatic women without a prior preterm birth

et al. 2023

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“…TPS is often considered more challenging, but with training accurate results can be achieved. 49 TAS lacks accuracy when assessing for short cervix 50…”

Section: Summary Statement For Recommendation 2amentioning

confidence: 99%

“…When TVS is contraindicated, TPS can be used as an alternative. TPS is often considered more challenging, but with training accurate results can be achieved 49 . TAS lacks accuracy when assessing for short cervix 50 and should only be performed if both TVS and TPS are contraindicated in the high‐risk patient.…”

Section: Recommendationsmentioning

confidence: 99%

Ultrasound assessment of the gravid cervix to assess for risk of spontaneous preterm birth: Introducing an evidence‐based clinical guideline for sonographers

Thoirs,

O'Hara,

Quinton

et al. 2024

Sonography

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This article introduces a new evidence‐based clinical practice guideline (CPG) for sonographers; Ultrasound assessment of the gravid cervix to assess for risk of spontaneous preterm birth (sPTB). The purpose of this new CPG is to provide evidence‐based guidance for sonographers in Australia and New Zealand when making decisions on how and when they should sonographically assess the cervix in the gravid patient. Clinical questions relevant to the sonographic assessment of the gravid cervix were developed to inform the CPG. The primary sources to answer the clinical questions were relevant, existing CPGs. Recommendations in these existing CPGs were appraised for the level of evidence on which they were based and adapted for use in the new CPG. New recommendations were adapted from 19 existing CPGs rated as being based on best evidence and were applicable to three specific patient groups, each at different risk for sPTB. ‘How to Guidance’, statements about safety, acceptability, feasibility of ultrasound techniques, sonographer training and supplementary material were also developed using information from existing CPGs, relevant literature and the clinical experience of clinical guideline group members. The CPG recommendations, ‘how to guides’ and areas of future research are presented in this article. The full guideline and its supplementary materials are available at https://www.sonographers.org/resources-tools/clinical-guidance.

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A pragmatic evaluation of the implementation and acceptance of a universal second trimester cervical length screening program in an un-selected population

Reddy

Haidar

Downing

et al. 2023

Arch Gynecol Obstet

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Transperineal ultrasound in routine uterine cervix measurement

Cited by 3 publications

References 23 publications

How to screen the cervix and reduce the risk of spontaneous preterm birth in asymptomatic women without a prior preterm birth

How to screen the cervix and reduce the risk of spontaneous preterm birth in asymptomatic women without a prior preterm birth

Ultrasound assessment of the gravid cervix to assess for risk of spontaneous preterm birth: Introducing an evidence‐based clinical guideline for sonographers

A pragmatic evaluation of the implementation and acceptance of a universal second trimester cervical length screening program in an un-selected population

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