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The Introduction of a Universal Transvaginal Cervical Length Screening Program Is Associated with a Reduced Preterm Birth Rate by Aude Figarella; Cécile Chau; Anderson Loundou; Claude d’Ercole; Florence Bretelle is a Medicine article available to read on EtoBox.
What is The Introduction of a Universal Transvaginal Cervical Length Screening Program Is Associated with a Reduced Preterm Birth Rate about?
## Background: Midtrimester sonographic short cervix is a good predictor of preterm birth in singleton pregnancies. ## Objective: This study aimed to assess the impact of implementing a universal transvaginal cervical length screening program on preterm birth rate. ## Study design: This study consisted of 2 parts: a before-and-after multicenter study and a study on the echocol ("echo"="ultrasound" and "col"="cervix" in french) prospective cohort. we compared the rate of preterm birth before and after the introduction of universal cervical length screening at the time of midtrimester anatomy ultrasound. the multicenter before-and-after regional study included all women with a singleton pregnancy who gave birth after 24 weeks' gestation in the south east of france from january 1, 2012 to april 30, 2018. in parallel, the echocol cohort study was prospectively conducted from may 2015 to july 2018, including 17 maternity hospitals in the south east region of france. in case of asymptomatic short cervix <25 mm, treatments offered included 200 mg of vaginal progesterone, or cerclage, or a pessary until 34 weeks' gestation. ## Results: We observed a significant decrease rate of preterm bir
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- Author
- Aude Figarella; Cécile Chau; Anderson Loundou; Claude d’Ercole; Florence Bretelle
- Publisher
- Elsevier BV
- Published
- 2023
- Language
- EN
- Field
- Medicine (Health Sciences)