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Practice Guideline
. 2014 Feb;123(2 Pt 1):372-379.
doi: 10.1097/01.AOG.0000443276.68274.cc.

ACOG Practice Bulletin No.142: Cerclage for the management of cervical insufficiency

No authors listed
Practice Guideline

ACOG Practice Bulletin No.142: Cerclage for the management of cervical insufficiency

No authors listed. Obstet Gynecol. 2014 Feb.

Abstract

The inability of the uterine cervix to retain a pregnancy in the second trimester is referred to as cervical insufficiency. Controversy exists in the medical literature pertaining to issues of pathophysiology, screening, diagnosis, and management of cervical insufficiency. The purpose of this document is to provide a review of current evidence of cervical insufficiency, including screening of asymptomatic at-risk women, and to offer guidelines on the use of cerclage for management. The diagnosis and management of other cervical issues during pregnancy, such as short cervical length, are discussed more in-depth in other publications of the American College of Obstetricians and Gynecologists.

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References

    1. Iams JD, Goldenberg RL, Meis PJ, Mercer BM, Moawad A, Das A, et al.. The length of the cervix and the risk of spontaneous premature delivery. National Institute of Child Health and Human Development Maternal Fetal Medicine Unit Network. N Engl J Med 1996;334:567–72.
    1. Shellhaas CS, Iams JD. Ambulatory management of preterm labor. Clin Obstet Gynecol 1998;41:491–502.
    1. Rust OA, Atlas RO, Reed J, van Gaalen J, Balducci J. Revisiting the short cervix detected by transvaginal ultrasound in the second trimester: why cerclage therapy may not help. Am J Obstet Gynecol 2001;185:1098–105.
    1. Rubovits FE, Cooperman NR, Lash AF. Habitual abortion: a radiographic technique to demonstrate the incompetent internal os of the cervix. Am J Obstet Gynecol 1953;66:269–80.
    1. Kiwi R, Neuman MR, Merkatz IR, Selim MA, Lysikiewicz A. Determination of the elastic properties of the cervix. Obstet Gynecol 1988;71:568–74.

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