2014/01/23 · 2 citations
Medicine · #Asymptomatic #Cervical insufficiency #Cervix #Ectopic Pregnancy Diagnosis and Management #Gestation #Gynecology #Intensive care medicine #Internal medicine #Medicine #Obstetrics #Pregnancy #Pregnancy-related medical research #Preterm Birth and Chorioamnionitis #Second trimester #Surgery #Uterine cervix
paper · doi:10.1097/01.aog.0000443276.68274.cc
openalex publication_date 2014/01/23 · openalex created_date 2022/05/12 · openalex updated_date 2026/08/06
The inability of the uterine cervix to retain a pregnancy in the second trimester is referred to as cervical insufficiency. Controversy exists in the medical literature pertaining to issues of pathophysiology, screening, diagnosis, and management of cervical insufficiency. The purpose of this document is to provide a review of current evidence of cervical insufficiency, including screening of asymptomatic at-risk women, and to offer guidelines on the use of cerclage for management. The diagnosis and management of other cervical issues during pregnancy, such as short cervical length, are discussed more in-depth in other publications of the American College of Obstetricians and Gynecologists.