Abstract:
:In an attempt to prevent preterm birth, clinicians have recommended cerclage for women with shortened cervical length and other worrisome sonographic cervical features in the mid-trimester, although randomized trials have not supported this practice. Emerging data suggest that preterm birth is a complex and poorly understood syndrome comprising several anatomic and functional components. As a result, preventive efforts have been mostly empiric and generally ineffective. Plausibly, effective preterm birth therapies exist, but matching the effective treatment with the correct patient has been problematic. Mid-trimester cervical changes visualized with vaginal sonography likely represent a pathologic process of premature cervical ripening and not real mechanical disability which has been traditionally treated with suture support. Cerclage may effectively reduce preterm birth in carefully selected women who have experienced a prior early preterm birth and who have shortened mid-trimester cervical length.
journal_name
Semin Perinatoljournal_title
Seminars in perinatologyauthors
Mancuso MS,Owen Jdoi
10.1053/j.semperi.2009.06.005subject
Has Abstractpub_date
2009-10-01 00:00:00pages
325-33issue
5eissn
0146-0005issn
1558-075Xpii
S0146-0005(09)00046-9journal_volume
33pub_type
杂志文章,评审abstract::Prenatal diagnosis of fetal aneuploidy is a continuously and rapidly evolving area of research. Currently in the United States, the standard of care for screening pregnancies for aneuploidy involves assessment of maternal age together with the use of multiple second trimester maternal serum markers. This screening app...
journal_title:Seminars in perinatology
pub_type: 杂志文章,评审
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journal_title:Seminars in perinatology
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journal_title:Seminars in perinatology
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journal_title:Seminars in perinatology
pub_type: 杂志文章,评审
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journal_title:Seminars in perinatology
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journal_title:Seminars in perinatology
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更新日期:1997-02-01 00:00:00
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journal_title:Seminars in perinatology
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journal_title:Seminars in perinatology
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pub_type: 杂志文章,评审
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更新日期:2003-04-01 00:00:00
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journal_title:Seminars in perinatology
pub_type: 杂志文章,评审
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journal_title:Seminars in perinatology
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journal_title:Seminars in perinatology
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journal_title:Seminars in perinatology
pub_type: 杂志文章,评审
doi:10.1053/j.semperi.2008.10.003
更新日期:2009-02-01 00:00:00
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journal_title:Seminars in perinatology
pub_type: 杂志文章,评审
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journal_title:Seminars in perinatology
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journal_title:Seminars in perinatology
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journal_title:Seminars in perinatology
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journal_title:Seminars in perinatology
pub_type: 杂志文章,评审
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journal_title:Seminars in perinatology
pub_type: 杂志文章,评审
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journal_title:Seminars in perinatology
pub_type: 杂志文章
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journal_title:Seminars in perinatology
pub_type: 杂志文章,评审
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journal_title:Seminars in perinatology
pub_type: 杂志文章
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journal_title:Seminars in perinatology
pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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