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Cervical insufficiency: a noteworthy disease with controversies

  • Yu Han ORCID logo , Mengnan Li , Huijing Ma and Hailan Yang ORCID logo EMAIL logo
Published/Copyright: July 21, 2020
Journal of Perinatal Medicine
From the journal Journal of Perinatal Medicine Volume 48 Issue 7

Abstract

Cervical insufficiency (CI) is a mainly disease leading to recurrent abortions and preterm birth which may present in about 1% of obstetric populations. Recurrent pregnancy losses caused by CI incur serious economic burdens on society as well as huge psychological burdens to family members. However, many patients even clinicians in some areas of the world still remain confused about this disease. At the same time, the etiology of CI is still uncertain and it is still a controversial disease in diagnosis and treatment. This article summarizes the potential risk factors associated with CI, which could be worthy of attention and helpful for future research. It also reviews the methods for diagnosis and treatment of CI to better understand this noteworthy disease, as well as presents the related consensus and controversies according to the newly updated guidelines, which has practical significance for conducting more in-depth investigations in the future.

Keywords: cervical insufficiency; diagnosis; etiology; research disputes; risk factors; treatment
Corresponding author: Hailan Yang, Department of Obstetrics, First Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, P.R. China, Phone: +86 13834048059, E-mail:

  1. Research funding: None declared.

  2. Author contributions: Yu Han, data collection and manuscript writing; Mengnan Li, manuscript editing; Huijing Ma, data collection; Hailan Yang, project development and final manuscript editing. All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

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Received: 2020-06-06
Accepted: 2020-06-19
Published Online: 2020-07-21
Published in Print: 2020-09-25

© 2020 Walter de Gruyter GmbH, Berlin/Boston

Articles in the same Issue

  1. Frontmatter
  2. Review
  3. Perinatal outcomes in vanishing twin pregnancies following assisted reproductive technology (ART) – a systematic review and meta-analysis
  4. Mini Review
  5. Cervical insufficiency: a noteworthy disease with controversies
  6. Original Articles – Obstetrics
  7. Individualized birth length and head circumference percentile charts based on maternal body weight and height
  8. Cellular immune responses in amniotic fluid of women with a sonographic short cervix
  9. Comparison of buprenorphine and methadone in the management of maternal opioid use disorder in full term pregnancies
  10. Influence of newborn head circumference and birth weight on the delivery mode of primipara: what is more important?
  11. Estimated fetal weight and severe neonatal outcomes in preterm prelabor rupture of membranes
  12. Which technique is better to place a manoeuvrable vacuum extractor cup on the flexion point? Vacca vs. Bird technique
  13. Pregnancy-specific transcriptional changes upon endotoxin exposure in mice
  14. Effects of nifedipine on fetal cardiac function in preterm labor
  15. Violence against trainees: urgent ethical challenges for medical educators and academic leaders in perinatal medicine
  16. Original Articles – Newborns
  17. Comparison of image quality in brain MRI with and without MR compatible incubator and predictive value of brain MRI at expected delivery date in preterm babies
  18. Survey on clinical use and non-use of recombinant human erythropoietin in European neonatal units
  19. An alternative approach to developing guidelines for the management of an anticipated extremely preterm infant
https://doi.org/10.1515/jpm-2020-0255
Keywords for this article
cervical insufficiency; diagnosis; etiology; research disputes; risk factors; treatment

Articles in the same Issue

  1. Frontmatter
  2. Review
  3. Perinatal outcomes in vanishing twin pregnancies following assisted reproductive technology (ART) – a systematic review and meta-analysis
  4. Mini Review
  5. Cervical insufficiency: a noteworthy disease with controversies
  6. Original Articles – Obstetrics
  7. Individualized birth length and head circumference percentile charts based on maternal body weight and height
  8. Cellular immune responses in amniotic fluid of women with a sonographic short cervix
  9. Comparison of buprenorphine and methadone in the management of maternal opioid use disorder in full term pregnancies
  10. Influence of newborn head circumference and birth weight on the delivery mode of primipara: what is more important?
  11. Estimated fetal weight and severe neonatal outcomes in preterm prelabor rupture of membranes
  12. Which technique is better to place a manoeuvrable vacuum extractor cup on the flexion point? Vacca vs. Bird technique
  13. Pregnancy-specific transcriptional changes upon endotoxin exposure in mice
  14. Effects of nifedipine on fetal cardiac function in preterm labor
  15. Violence against trainees: urgent ethical challenges for medical educators and academic leaders in perinatal medicine
  16. Original Articles – Newborns
  17. Comparison of image quality in brain MRI with and without MR compatible incubator and predictive value of brain MRI at expected delivery date in preterm babies
  18. Survey on clinical use and non-use of recombinant human erythropoietin in European neonatal units
  19. An alternative approach to developing guidelines for the management of an anticipated extremely preterm infant
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