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对无早产史的单胎妊娠进行普遍的宫颈长度筛查:应该实施它的十个理由。

Universal cervical length screening in singleton gestations without a previous preterm birth: ten reasons why it should be implemented.

机构信息

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA.

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA.

出版信息

Am J Obstet Gynecol. 2016 May;214(5):603.e1-5. doi: 10.1016/j.ajog.2015.12.017. Epub 2015 Dec 19.

Abstract

A short cervix is associated strongly with preterm birth. Pharmacologic intervention with vaginal progesterone in women with a singleton pregnancy and a short cervix in the second trimester decreases the incidence of preterm birth. We explore the evidence that universal cervical length screening in women with a singleton pregnancy meets the criteria for an effective screening test for preterm birth prevention, driving it towards becoming routinely offered in prenatal care.

摘要

短宫颈与早产密切相关。对于单胎妊娠且在妊娠中期宫颈较短的女性,阴道用孕激素进行药物干预可降低早产的发生率。我们探讨了在单胎妊娠女性中进行普遍的宫颈长度筛查是否符合预防早产的有效筛查试验标准的证据,这使得它在产前护理中得到常规应用。

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