Cervical funneling: Effect on gestational length and ultrasound-indicated cerclage in high-risk women

American Journal of Obstetrics and Gynecology

Volumn 203, Issue 3, 2010, Pages 259.e1-259.e5

  Mancuso, Melissa S ^a   Szychowski, Jeff M ^b   Owen, John ^a   Hankins, Gary ^c   Iams, Jay D ^d   Sheffield, Jeanne S ^e   Perez Delboy, Annette ^f   Berghella, Vincenzo ^g   Wing, Debora A ^h   Guzman, Edwin R ⁱ  

^a Division of Maternal Fetal Medicine   (United States)

^b UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

^c University of Texas Medical Branch School of Medicine   (United States)

^d THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER   (United States)

^e UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

^f Thomas Jefferson University School of Medicine ^*  (United States)

^g THOMAS JEFFERSON UNIVERSITY   (United States)

^h UNIVERSITY OF CALIFORNIA   (United States)

ⁱ SAINT PETER S UNIVERSITY HOSPITAL   (United States)

Author keywords

preterm birth; U shaped funnel; V shaped funnel

Indexed keywords

ARTICLE; CLINICAL ASSESSMENT; COMPARATIVE STUDY; CORRELATIONAL STUDY; FEMALE; GESTATIONAL AGE; HIGH RISK PATIENT; HUMAN; MATERNAL AGE; PREMATURE LABOR; PRIORITY JOURNAL; SECONDARY ANALYSIS; TRANSVAGINAL ECHOGRAPHY; ULTRASOUND; UTERINE CERVIX; UTERINE CERVIX CERCLAGE;

EID: 77956334096     PISSN: 00029378     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ajog.2010.07.002     Document Type: Article

References (14)

1. D.V. Surbek, I.M. Hoeslie, and W. Holzgreve Morphology assessed by transvaginal ultrasonography differs in patients in preterm labor with vs without bacterial vaginosis Ultrasound Obstet Gynecol 15 2000 242 245
2. C. Spong Prediction and prevention of recurrent spontaneous preterm birth Obstet Gynecol 110 2007 415
3. J.M. Tucker, R.L. Goldenberg, R.O. Davis, R.L. Copper, C.L. Winkler, and J.C. Hauth Etiologies of preterm birth in an indigent population: is prevention a logical expectation? Obstet Gynecol 77 1991 343 347
4. J.D. Iams, R.L. Goldenberg, and P.J. Meis The length of the cervix and the risk of spontaneous premature delivery N Engl J Med 334 1996 567 572
5. J. Owen, N. Yost, and V. Berghella Mid-trimester endovaginal sonography in women at high risk for spontaneous preterm birth JAMA 286 2001 1340 1348
6. M. Burger, T. Weber-Rossler, and M. Willmann Measurement of the pregnant cervix by transvaginal sonography: an interobserver study and new standards to improve the interobserver variability Ultrasound Obstet Gynecol 9 1997 188 193
7. J.D. Sonek, J.D. Iams, M. Blumenfeld, F. Johnson, M. Landon, and S. Gabbe Measurement of cervical length in pregnancy: Comparison between vaginal ultrasonography and digital examination Obstet Gynecol 76 1990 172 175
8. N.P. Yost NICHD MFM Units Network Midtrimester endovaginal sonography: ancillary markers for spontaneous preterm birth Obstet Gynecol 103 2004 457 462
9. O.A. Rust, R.O. Atlas, S. Kimmel, W.E. Roberts, and L.W. Hess Does the presence of a funnel increase the risk of adverse perinatal outcome in a patient with a short cervix? Am J Obstet Gynecol 192 2005 1060 1066
10. V. Berghella, J. Owen, and C. MacPherson Natural history of cervical funneling in women at high risk for spontaneous preterm birth Obstet Gynecol 109 2007 863 869
11. J. Owen, G. Hankins, and J.D. Iams Multicenter randomized trial of cerclage for preterm birth prevention in high-risk women with shortened midtrimester cervical length Am J Obstet Gynecol 201 2009 375.e1 375.e8
12. N.M. Doyle, and M. Monga Role of ultrasound in screening patients at risk for preterm delivery Obstet Gynecol Clin North Am 31 2004 125 139
13. M. Zilianti, A. Azuaga, F. Calderon, G. Pages, and G. Mendoza Monitoring the effacement of the uterine cervix by transperineal sonography J Ultrasound Med 14 1995 719 724
14. S.M. Althuisius, G.A. Dekker, P. Hummel, and H.P. van Geijn Cervical incompetence prevention randomized cerclage trial: emergency cerclage with bed rest versus bed rest alone Am J Obstet Gynecol 189 2003 907 910