Obstetrics, perinatology, family medicine, internal medicine
Dr. Thomas Colletti
Objective: This article reviews screening guidelines for patients at risk of second-trimester preterm delivery due to cervical insufficiency (CI).
Method: A literature search was conducted with search terms cervical insufficiency, cervical incompetence, second-trimester delivery, preterm delivery, neonatal morbidity, and neonatal mortality. Twelve pertinent resources were retrieved and served as the basis for this clinical review.
Findings: Early detection of cervical insufficiency with routine cervical length checks between 16 and 24 weeks gestation may decrease neonatal mortality rates among patients with CI.
Conclusion: Cervical insufficiency is associated with increased neonatal morbidity and mortality. The early cervical ripening seen in patients with cervical insufficiency involves a complex process that leads to preterm cervical dilation and delivery. Currently, patients with CI are diagnosed after recurrent second and third-trimester pregnancy losses. Early detection of cervical insufficiency with routine cervical length checks between 16 and 24 weeks gestation could significantly decrease neonatal mortality rates among patients with CI.
Brownlee L. Early Detection of Cervical Insufficiency for Improved Neonatal Survival. University of Lynchburg DMSc Doctoral Project Assignment Repository. 2022; 4(4).
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