How to screen the cervix and reduce the risk of spontaneous preterm birth in asymptomatic women without a prior preterm birth
- PMID: 37439085
- PMCID: PMC10514583
- DOI: 10.5468/ogs.23022
How to screen the cervix and reduce the risk of spontaneous preterm birth in asymptomatic women without a prior preterm birth
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.
Keywords: Cervix; Length; Preterm birth; Ultrasonography.
Conflict of interest statement
No potential conflict of interest relevant to this article was reported.
Similar articles
-
Obstetric History and Risk of Short Cervix in Women with a Prior Preterm Birth.Am J Perinatol. 2022 May;39(7):759-765. doi: 10.1055/s-0040-1717074. Epub 2020 Sep 24. Am J Perinatol. 2022. PMID: 32971559
-
Recurrence risk of preterm births: a retrospective Indian study.J Obstet Gynaecol. 2020 Oct;40(7):925-928. doi: 10.1080/01443615.2019.1673712. Epub 2019 Dec 3. J Obstet Gynaecol. 2020. PMID: 31791184
-
Cervical stitch (cerclage) in combination with other treatments for preventing spontaneous preterm birth in singleton pregnancies.Cochrane Database Syst Rev. 2020 Sep 24;9(9):CD012871. doi: 10.1002/14651858.CD012871.pub2. Cochrane Database Syst Rev. 2020. PMID: 32970845 Free PMC article.
-
Routine second trimester cervical length screening in low risk women identified women at risk of a 'very' preterm birth but did not reduce the preterm birth rate: a randomised study from India.J Obstet Gynaecol. 2018 Aug;38(6):789-795. doi: 10.1080/01443615.2017.1419461. Epub 2018 Mar 14. J Obstet Gynaecol. 2018. PMID: 29537316 Clinical Trial.
-
Prevention of spontaneous preterm birth: Guidelines for clinical practice from the French College of Gynaecologists and Obstetricians (CNGOF).Eur J Obstet Gynecol Reprod Biol. 2017 Mar;210:217-224. doi: 10.1016/j.ejogrb.2016.12.035. Epub 2016 Dec 30. Eur J Obstet Gynecol Reprod Biol. 2017. PMID: 28068594 Review.
Cited by
-
Short- and Long-Term Neonatal Outcomes According to Cerclage in Nulliparous Singleton Women: A National Cohort Study Over 15 Years.J Korean Med Sci. 2025 Jul 7;40(26):e131. doi: 10.3346/jkms.2025.40.e131. J Korean Med Sci. 2025. PMID: 40625042 Free PMC article.
-
Diabetes Mellitus as a Risk Factor for Spontaneous Preterm Birth in Women with a Short Cervix after Ultrasound-Indicated Cerclage.J Clin Med. 2024 Jun 26;13(13):3727. doi: 10.3390/jcm13133727. J Clin Med. 2024. PMID: 38999295 Free PMC article.
References
-
- Korean Statistical Information Service . Live births by sex, period of pregnancy of provinces [Internet]. Daejeon (KR): Korean Statistical Information Service; c2022. [cited 2022 Oct 19]. Available from: http://kosis.kr/eng/statisticsList/statisticsListIndex.do .
-
- Serenius F, Källén K, Blennow M, Ewald U, Fellman V, Holmström G, et al. Neurodevelopmental outcome in extremely preterm infants at 2.5 years after active perinatal care in Sweden. JAMA. 2013;309:1810–20. - PubMed
LinkOut - more resources
Full Text Sources