OB ultrasound protocol - transvaginal cervical length - UI Health Care
UIHC FETAL DIAGNOSIS AND THERAPY OBSTETRIC ULTRASOUND PROTOCOL INDICATIONS FOR TRANSVAGINAL CERVICAL LENGTH
Background:
Cervical shortening is thought to be one of the early steps of the parturition process. Progressive cervical shortening in the second trimester is associated with increased risk of
spontaneous preterm delivery.
Given that effacement of the cervix begins at the internal cervical os, shortening can be
detected on ultrasound prior to the ability to detect changes on physical exam.
Risk factors for preterm birth: prior preterm birth, prior cervical procedures, Muellerian
anomalies, multiple gestations.
Prior preterm birth includes singleton delivered between 16 and 36 6/7 weeks due to
spontaneous preterm labor, PPROM, advanced cervical dilation or effacement 20-24 weeks.
Incidence of short cervix < 20 mm (transvaginal) in low risk women is 0.8%. Cervical length ................
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