Screening and Prevention of Preterm Birth in Twin Pregnancies.
Journal
Clinical obstetrics and gynecology
ISSN: 1532-5520
Titre abrégé: Clin Obstet Gynecol
Pays: United States
ID NLM: 0070014
Informations de publication
Date de publication:
01 Dec 2023
01 Dec 2023
Historique:
medline:
16
11
2023
pubmed:
1
11
2023
entrez:
1
11
2023
Statut:
ppublish
Résumé
Twins represent 3.2% of all live births. However, they account for 20% of all preterm deliveries, 60% delivering <37 weeks, 10.7% <32 weeks, and 5 times higher risk of infant death. Risk factors for preterm birth (PTB) include the history of preterm delivery, monochorionic twins, short cervical length, and cervical surgery. Transvaginal cervical length <24 weeks is the best tool to predict PTB. Only vaginal progesterone in women with transvaginal cervical length <25 mm and physical exam indicated cerclage in women with cervical dilation >1 cm have shown a significant decrease in PTB and improvement in neonatal outcomes.
Identifiants
pubmed: 37910049
doi: 10.1097/GRF.0000000000000822
pii: 00003081-990000000-00109
doi:
Substances chimiques
Progesterone
4G7DS2Q64Y
Types de publication
Journal Article
Twin Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
804-824Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
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