The role of routine cervical length screening in selected high- and low-risk women for preterm birth prevention
The role of routine cervical length screening in selected high- and low-risk women for preterm birth prevention
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DOI：
10.1016/j.ajog.2016.04.027
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发表时间：
2016-09-01
影响因子：
9.8
通讯作者：
Manuck, Tracy
中科院分区：
文献类型：
--
作者：
McIntosh, Jennifer;Feltovich, Helen;Manuck, Tracy
在美国和世界各地，早产仍然是新生儿死亡和短期和长期残疾的主要原因。大多数早产是自发的，宫颈长度筛查是一种可以用来确定哪些妇女可能需要预防性干预的风险较高的妇女的工具。本文件的目的是回顾宫颈长度筛查的适应症和原理，以防止各种临床方案中的早产。母婴医学会建议(1)对有单胎妊娠和既往有自然早产史的妇女进行常规的经阴道宫颈长度筛查(等级1A)；(2)对宫颈环扎、多胎妊娠、胎膜早破或前置胎盘的妇女不进行常规的经阴道宫颈长度筛查(等级2B)；(3)决定实施普遍宫颈长度筛查的从业者遵守严格的指南(等级2B)；(4)超声师和/或从业者在怀孕期间接受获得和解释宫颈影像的专门培训(等级2B)。
Preterm birth remains a major cause of neonatal death and short and long-term disability in the US and across the world. The majority of preterm births are spontaneous and cervical length screening is one tool that can be utilized to identify women at increased risk who may be candidates for preventive interventions. The purpose of this document is to review the indications and rationale for cervical length screening to prevent preterm birth in various clinical scenarios. The Society for Maternal- Fetal Medicine recommends (1) routine transvaginal cervical length screening for women with singleton pregnancy and history of prior spontaneous preterm birth (GRADE 1A); (2) routine transvaginal cervical length screening not be performed for women with cervical cerclage, multiple gestation, preterm premature rupture of membranes, or placenta previa (GRADE 2B); (3) practitioners who decide to implement universal cervical length screening follow strict guidelines (GRADE 2B); (4) sonographers and/or practitioners receive specific training in the acquisition and interpretation of cervical imaging during pregnancy (GRADE 2B).