Short cervix syndrome: current knowledge from etiology to the control

Short cervix syndrome: current knowledge from etiology to the control

Autor Guimaraes Filho, Helio Antonio Google Scholar
Araujo Junior, Edward Autor UNIFESP Google Scholar
Pires, Claudio Rodrigues Google Scholar
Machado Nardozza, Luciano Marcondes Autor UNIFESP Google Scholar
Moron, Antonio Fernandes Autor UNIFESP Google Scholar
Instituição Imaging Training Ctr CETRIM
Universidade Federal de São Paulo (UNIFESP)
São Paulo Ultrasound Training Ctr CETRUS
Resumo Preterm delivery is one of the most serious public health problems and is the most important factor relating to neonatal morbidity and mortality. the strategies for preventing it include understanding the risk factors, with specific interventions. Recently, uterine cervix measurements using ultrasonography and vaginal administration of progesterone have gained importance in predicting and secondarily preventing spontaneous preterm delivery.To describe the short cervix syndrome, including its etiology, diagnosis, and possible therapies.Research in ISI, Pubmed, and Scielo database using the words short cervix, preterm delivery, sludge, cervical funneling, cervical gland area, progesterone, cerclage, and pessary.We found a lot of articles about this topic, including randomized controlled trials. the etiology is multifactorial, being the diagnosis based in a cervix shortening at 20-24 weeks. the history and measurement of cervix length by transvaginal ultrasound have been shown to be effective to select the high risk pregnancies. the progesterone, cervical cerclage, and cervical pessary showed to be effective to reduce the preterm delivery in pregnant women with short cervix.The successful management of pregnant women presenting a short cervix depends on the understanding that cervical shortening is the final common path for several causes of preterm delivery. the best approach should be individualized to each patient.
Palavra-chave Short cervix
Preterm delivery
Transvaginal ultrasound
Progesterone
Cervical cerclage
Cervical pessary
Idioma Inglês
Data de publicação 2013-04-01
Publicado em Archives of Gynecology and Obstetrics. Heidelberg: Springer Heidelberg, v. 287, n. 4, p. 621-628, 2013.
ISSN 0932-0067 (Sherpa/Romeo, fator de impacto)
Publicador Springer
Extensão 621-628
Fonte http://dx.doi.org/10.1007/s00404-013-2740-0
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000316283700001
Endereço permanente http://repositorio.unifesp.br/handle/11600/36142

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