Prediction of Preterm Birth: Cervical Sonography

被引：106

作者：

Mella, Maria Teresa ^{[1
]}

Berghella, Vincenzo ^{[1
]}

机构：

[1] Thomas Jefferson Univ, Div Maternal Fetal Med, Dept Obstet & Gynecol, Jefferson Med Coll, Philadelphia, PA 19107 USA

来源：

SEMINARS IN PERINATOLOGY | 2009年 / 33卷 / 05期

关键词：

cervical length; prediction; preterm birth; ASYMPTOMATIC PREGNANT-WOMEN; HIGH-RISK; TRANSVAGINAL ULTRASONOGRAPHY; UTERINE CONTRACTIONS; LENGTH MEASUREMENT; ULTRASOUND; DELIVERY; TRANSPERINEAL; PROGESTERONE; MIDTRIMESTER;

D O I：

10.1053/j.semperi.2009.06.007

中图分类号：

R71 [妇产科学];

学科分类号：

100211 [妇产科学];

摘要：

The cervix has to open to allow vaginal birth. Ultrasound has now shown that this lower part of the uterus begins to show changes weeks before eventual birth. Only transvaginal ultrasound should be used to evaluate the cervix for prediction of preterm birth (PTB). The shortest best cervical length (CL) is the most effective measurement for clinical use. Proper technique is paramount for accurate results. The risk of PTB increases with ever shorter CL (<25 mm). Other factors that must be carefully considered when using CL for prediction of PTB are number of fetuses, risk factors for PTB, and gestational age at screening. © 2009 Elsevier Inc. All rights reserved.

引用

收藏

页码：317 / 324

页数：8

相关论文

共 38 条

[1]

Transvaginal ultrasonography of the cervix to predict preterm birth in women with uterine anomalies [J].

Airoldi, J ;

Berghella, V ;

Sehdev, H ;

Ludmir, A .

OBSTETRICS AND GYNECOLOGY, 2005, 106 (03) :553-556

[2]

[Anonymous], ULTRASONOGRAPHY OBST

[3]

Prediction of preterm delivery with transvaginal ultrasonography of the cervix in patients with high-risk pregnancies: Does cerclage prevent prematurity? [J].

Berghella, V ;

Daly, SF ;

Tolosa, JE ;

DiVito, MM ;

Chalmers, R ;

Garg, N ;

Bhullar, A ;

Wapner, RJ .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1999, 181 (04) :809-815

[4]

Cervical funneling: sonographic criteria predictive of preterm delivery [J].

Berghella, V ;

Kuhlman, K ;

Weiner, S ;

Texeira, L ;

Wapner, RJ .

ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 1997, 10 (03) :161-166

[5]

Prior cone biopsy: Prediction of preterm birth by cervical ultrasound [J].

Berghella, V ;

Pereira, L ;

Gariepy, A ;

Simonazzi, G .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2004, 191 (04) :1393-1397

[6]

Frequency of uterine contractions in asymptomatic pregnant women with or without a short cervix on transvaginal ultrasound scan [J].

Berghella, V ;

Iams, JD ;

Newman, RB ;

MacPherson, C ;

Goldenberg, RL ;

Mueller-Heubach, E ;

Caritis, SN ;

Dombrowski, MP .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2004, 191 (04) :1253-1256

[7]

Ultrasound assessment of the cervix [J].

Berghella, V ;

Bega, G ;

Tolosa, JE ;

Berghella, M .

CLINICAL OBSTETRICS AND GYNECOLOGY, 2003, 46 (04) :947-962

[8]

Does transvaginal sonographic measurement of cervical length before 14 weeks predict preterm delivery in high-risk pregnancies? [J].

Berghella, V ;

Talucci, M ;

Desai, A .

ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2003, 21 (02) :140-144

[9]

Novel developments on cervical length screening and progesterone for preventing preterm birth [J].

Berghella, V. .

BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2009, 116 (02) :182-187

[10]

Cervical ultrasonography compared with manual examination as a predictor of preterm delivery [J].

Berghella, V ;

Tolosa, JE ;

Kuhlman, K ;

Weiner, S ;

Bolognese, RJ ;

Wapner, RJ .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1997, 177 (04) :723-730

← 1 2 3 4 →