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https://hdl.handle.net/2440/8421
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dc.contributor.author | Althuisius, S. | - |
dc.contributor.author | Dekker, G. | - |
dc.contributor.author | van Geijn, H. | - |
dc.date.issued | 2002 | - |
dc.identifier.citation | Obstetrical and Gynecological Survey, 2002; 57(6):377-387 | - |
dc.identifier.issn | 0029-7828 | - |
dc.identifier.issn | 1533-9866 | - |
dc.identifier.uri | http://hdl.handle.net/2440/8421 | - |
dc.description.abstract | Cervical incompetence is not a categoric but rather a continuous variable, meaning that there are various degrees in the competency of the cervix. Furthermore, a certain degree of competency of the cervix can be expressed differently in subsequent pregnancies. Women with risk factors for cervical incompetence in their gynecological/obstetric history should be followed by transvaginal ultrasonography. History alone is not an indication for a prophylactic cerclage. Although transvaginal ultrasonography identifies women at high risk of preterm delivery, it does not discriminate between different underlying pathologies. Short cervical length alone is not an indication for a therapeutic cerclage. Serial transvaginal ultrasonographic measurements of cervical length in women with risk factors can identify those women truly at high risk of preterm delivery. A transvaginal cervical cerclage with bed rest reduces preterm delivery and improves perinatal outcome in women with a short cervical length and risk factors for cervical incompetence. | - |
dc.description.statementofresponsibility | Sietske M. Althuisius, Gustaaf A. Dekker, and Herman P. van Geijn | - |
dc.description.uri | http://journals.lww.com/obgynsurvey/Abstract/2002/06000/Cervical_Incompetence__A_Reappraisal_of_an.23.aspx | - |
dc.language.iso | en | - |
dc.publisher | Lippincott Williams & Wilkins | - |
dc.rights | © 2002 Lippincott Williams & Wilkins, Inc. | - |
dc.source.uri | http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006254-200206000-00023&LSLINK=80&D=ovft | - |
dc.subject | Cervix Uteri | - |
dc.subject | Humans | - |
dc.subject | Ultrasonography | - |
dc.subject | Bed Rest | - |
dc.subject | Cerclage, Cervical | - |
dc.subject | Risk Factors | - |
dc.subject | Pregnancy | - |
dc.subject | Uterine Cervical Incompetence | - |
dc.subject | Female | - |
dc.subject | Obstetric Labor, Premature | - |
dc.title | Cervical incompetence: A reappraisal of an obstetric controversy | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1097/00006254-200206000-00023 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Dekker, G. [0000-0002-7362-6683] | - |
Appears in Collections: | Aurora harvest Obstetrics and Gynaecology publications |
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