如何对宫颈进行筛查并降低既往无早产史的无症状女性的自然早产风险。
How to screen the cervix and reduce the risk of spontaneous preterm birth in asymptomatic women without a prior preterm birth.
作者信息
Lee Seon Ui, Jung Gyul, Kim Han Wool, Ko Hyun Sun
机构信息
Department of Obstetrics and Gynecology, The Catholic University of Korea Seoul St. Mary's Hospital, Seoul, Korea.
出版信息
Obstet Gynecol Sci. 2023 Sep;66(5):337-346. doi: 10.5468/ogs.23022. Epub 2023 Jul 13.
Abstract
Preterm birth (PTB) is a leading cause of perinatal morbidity and mortality globally. PTB rates have increased in South Korea despite reduction in birth rates. A history of PTB is a strong predictor of subsequent PTB and screening of cervical length between 16 0/7 weeks and 24 0/7 weeks of gestation is recommended in women with a singleton pregnancy and a prior spontaneous PTB. However, the prediction and prevention of spontaneous PTBs in women without a prior PTB remain a matter of debate. The scope of this review article comprises cervical screening and prevention strategies for PTB in asymptomatic women without a prior PTB, based on recent evidence and guidelines.
摘要
早产是全球围产期发病和死亡的主要原因。尽管韩国的出生率有所下降，但早产率仍在上升。早产史是后续早产的有力预测指标，对于单胎妊娠且有自发早产史的女性，建议在妊娠16 0/7周至24 0/7周之间筛查宫颈长度。然而，对于无早产史女性的自发早产的预测和预防仍存在争议。基于近期的证据和指南，本文综述的范围包括对无早产史无症状女性的早产宫颈筛查和预防策略。
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本文引用的文献
1
Cervical pessary for preventing preterm birth in singleton pregnancies.
Cochrane Database Syst Rev. 2022 Dec 1;12(12):CD014508. doi: 10.1002/14651858.CD014508.
2
Pregnancy outcomes in twin pregnancies over 10 years.
Obstet Gynecol Sci. 2022 Jan;66(1):20-25. doi: 10.5468/ogs.22232. Epub 2022 Nov 29.
3
ISUOG Practice Guidelines: role of ultrasound in the prediction of spontaneous preterm birth.
Ultrasound Obstet Gynecol. 2022 Sep;60(3):435-456. doi: 10.1002/uog.26020. Epub 2022 Jul 29.
4
Midtrimester cervical elastography in pregnant women with a history of loop electrosurgical excision procedure (LEEP).
Sci Rep. 2022 Jun 2;12(1):9191. doi: 10.1038/s41598-022-13170-9.
5
ISUOG Practice Guidelines (updated): performance of the routine mid-trimester fetal ultrasound scan.
Ultrasound Obstet Gynecol. 2022 Jun;59(6):840-856. doi: 10.1002/uog.24888. Epub 2022 May 20.
6
Screening for spontaneous preterm birth by cervical length and shear-wave elastography in the first trimester of pregnancy.
Am J Obstet Gynecol. 2022 Sep;227(3):500.e1-500.e14. doi: 10.1016/j.ajog.2022.04.014. Epub 2022 Apr 20.
7
Medical Utilization and Costs in Preterm Infants in the First 6 Years of Life After Discharge From Neonatal Intensive Care Unit: A Nationwide Population-Based Study in Korea.
J Korean Med Sci. 2022 Mar 28;37(12):e93. doi: 10.3346/jkms.2022.37.e93.
8
Shear wave elastography: the relationship of the cervical stiffness with gestational age and cervical length- a feasibility study.
J Matern Fetal Neonatal Med. 2022 Dec;35(25):9684-9693. doi: 10.1080/14767058.2022.2050896. Epub 2022 Mar 25.
9
Transperineal ultrasound in routine uterine cervix measurement.
Arch Gynecol Obstet. 2023 Feb;307(2):387-393. doi: 10.1007/s00404-022-06521-4. Epub 2022 Mar 23.
10
Interventions to prevent spontaneous preterm birth in women with singleton pregnancy who are at high risk: systematic review and network meta-analysis.
BMJ. 2022 Feb 15;376:e064547. doi: 10.1136/bmj-2021-064547.
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