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The Short Cervix: A Critical Analysis of Diagnosis and Treatment
Eboni O Jones1, Zi-Qi Liew1, Orion A Rust1
1Department of Obstetrics and Gynecology, Lehigh Valley Health Network, 707 Hamilton Blvd, 8th Floor, Allentown, PA 18101, USA.
Abstract:
A short cervix in the second trimester is a significant risk factor for spontaneous preterm birth, preterm prelabor rupture of membranes, and subsequent adverse perinatal outcome. The pathophysiology is complex and multifactorial with inflammatory and/or infectious processes often involved. Biomarkers have been developed in an effort to predict preterm birth with varying degrees of success. The treatment options of cerclage, progesterone, pessary, and combination therapy are reviewed. Evidence-based protocols are summarized for singleton and multiple gestation.
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