732: Prediction of spontaneous preterm birth among nulliparous women with a short cervix

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منابع مشابه

Progesterone and the risk of preterm birth among women with a short cervix.

BACKGROUND Previous randomized trials have shown that progesterone administration in women who previously delivered prematurely reduces the risk of recurrent premature delivery. Asymptomatic women found at midgestation to have a short cervix are at greatly increased risk for spontaneous early preterm delivery, and it is unknown whether progesterone reduces this risk in such women. METHODS Cer...

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A blueprint for the prevention of preterm birth: vaginal progesterone in women with a short cervix.

Preterm birth is the leading cause of perinatal morbidity and mortality worldwide, and is the most important challenge to modern obstetrics. A major obstacle has been that preterm birth is treated (implicitly or explicitly) as a single condition. Two thirds of preterm births occur after the spontaneous onset of labor, and the remaining one third after "indicated" preterm birth; however, the cau...

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Women with prior preterm birth and short cervix: do NOT cerclage.

THE ISSUE: Undeniably, the 2 major risk factors for preterm births, the bane of modern obstetrics, are history of spontaneous delivery 37 weeks and transvaginal cervical length 2.5 cm. A multicenter randomized clinical trial has evaluated the role of cerclage for women with these 2 risk factors and concluded that intervention is associated with improved outcomes. Despite the level I evidence fo...

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Prediction of spontaneous preterm birth using fetal fibronectin in women with a low-lying placenta.

OBJECTIVE To determine the effect of a low-lying placenta on the concentration of quantitative fetal fibronectin (qfFN) in the cervicovaginal fluid (CVF), and predictive accuracy for spontaneous preterm birth in asymptomatic high-risk women (18 + 0-24 + 0 weeks gestation). METHODS Median concentrations of qfFN were compared in women who had a low-lying placenta, covering the cervical os (n = ...

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Vaginal progesterone, cerclage or cervical pessary for preventing preterm birth in asymptomatic singleton pregnant women with a history of preterm birth and a sonographic short cervix.

OBJECTIVE To compare the outcome of pregnancy in cohorts of women with singleton pregnancy and history of preterm birth and sonographic short cervix managed with different treatment protocols, namely cerclage, vaginal progesterone or cervical pessary. METHODS This was a comparison of three management protocols for women with singleton pregnancy and a high risk of preterm birth because of a pr...

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ژورنال

عنوان ژورنال: American Journal of Obstetrics and Gynecology

سال: 2014

ISSN: 0002-9378

DOI: 10.1016/j.ajog.2013.10.765