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Am J Perinatol 2009; 26(10): 761-770
DOI: 10.1055/s-0029-1239495
© Thieme Medical Publishers

A Short Cervical Length in Pregnancy: Management Options

Abdulrahman Sinno1 , Ihab M. Usta1 , Anwar H. Nassar1
  • 1Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut-Lebanon
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Publication History

Publication Date:
06 October 2009 (online)

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ABSTRACT

Measuring cervical length using transvaginal ultrasonography is a useful tool to predict the risk of preterm birth in low- and high-risk pregnancies. Management of a short cervix poses a significant dilemma for clinicians. Different management plans have been proposed and studied, with mixed results in different clinical settings. This article reviews the various management options in the different patient subpopulations and proposes a scheme for management once a short cervix is identified.

KEYWORDS

Short cervical length - management - cerclage - progestational agents

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Anwar H NassarM.D. 

Department of Obstetrics and Gynecology, American University of Beirut Medical Center

Beirut-Lebanon, P.O. Box 113-6044/B36, Hamra 110 32090, Beirut, Lebanon

Email: an21@aub.edu.lb