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KMID : 1143220230660050337
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Obstetrics & Gynecology Science
2023 Volume.66 No. 5 p.337 ~ p.346
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How to screen the cervix and reduce the risk of spontaneous preterm birth in asymptomatic women without a prior preterm birth
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Lee Seon-Ui
Jung Gyul
Kim Han-Wool
Ko Hyun-Sun
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Abstract
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Preterm birth (PTB) is a leading cause of perinatal morbidity and mortality globally. PTB rates have increased in South Korea despite reduction in birth rates. A history of PTB is a strong predictor of subsequent PTB and screening of cervical length between 16 0/7 weeks and 24 0/7 weeks of gestation is recommended in women with a singleton pregnancy and a prior spontaneous PTB. However, the prediction and prevention of spontaneous PTBs in women without a prior PTB remain a matter of debate. The scope of this review article comprises cervical screening and prevention strategies for PTB in asymptomatic women without a prior PTB, based on recent evidence and guidelines.
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KEYWORD
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Preterm birth, Cervix, Length, Ultrasonography
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