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Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
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Universal Screening for Prevention of Reading, Writing, and Math Disabilities in Spanish
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Universal cervical length screening: implementation and outcomes.

Lorene A Temming1, Jennifer K Durst1, Methodius G Tuuli1

  • 1Department of Obstetrics and Gynecology, Washington University in St Louis, St Louis, MO.

American Journal of Obstetrics and Gynecology
|February 14, 2016
PubMed
Summary
This summary is machine-generated.

Universal cervical length (CL) screening successfully screened 85% of women, identifying a low incidence of short cervix. Women declining screening had higher rates of early preterm birth and included higher-risk demographics.

Keywords:
cervical length measurementcervical length screeningpreterm birthpreterm birth preventionvaginal progesterone

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Public Health Screening

Background:

  • Transvaginal cervical length (CL) measurement is proposed for preterm birth prevention.
  • Universal screening utility remains debated due to varying effectiveness and patient acceptance.

Purpose of the Study:

  • Evaluate the acceptability of a universal CL screening program.
  • Identify risk factors for declining screening.
  • Assess delivery outcomes for women who accepted or declined CL screening.

Main Methods:

  • Retrospective cohort study (2011-2014) of transvaginal CL screening in singleton pregnancies.
  • Protocol recommended CL measurement (17-23 weeks); patients could opt out.
  • Analyzed acceptance rates, risk factors for declining, and spontaneous preterm birth association.

Main Results:

  • 85.3% of 12,740 women underwent CL screening; incidence of CL ≤20 mm was 1.2%.
  • Acceptance rates remained stable over time (P=.15).
  • Declining screening was associated with African American race, obesity, multiparity, younger maternal age, and smoking. Spontaneous preterm birth <28 weeks was higher in those declining screening (aOR 2.01).

Conclusions:

  • Universal CL screening achieved high implementation (85%) with low short cervix prevalence.
  • Women declining screening were more likely to have risk factors for preterm birth.
  • Declining CL screening correlated with increased rates of early spontaneous preterm birth.