Inpatient management for a shortened cervix: who is really at risk?
OBJECTIVE
The objective of the study was to identify risk factors associated with spontaneous preterm delivery (SPD) within 2 weeks of admission in patients with a shortened cervix.


METHODS
We reviewed records of patients hospitalized in 2003-2004 with a cervix of 25 mm or less at less than 32 weeks' gestation. The primary outcome was SPD 2 weeks or less of admission.


RESULTS
Sixty-six patients met inclusion criteria. Twelve delivered at 2 weeks or less of admission. There were no differences in maternal and gestational age at admission, history of SPD, and rate of multifetal pregnancy. Those with cervical length (CL) of 5 mm or less were more likely to deliver within 2 weeks than those with CLs 6-25 mm (50% vs 12.5%; P = .01). Logistic regression identified CL less than 5 mm as the only independent predictor of delivery within 2 weeks of admission (P = .01).


CONCLUSIONS
CL of less than 5 mm in patients at less than 32 weeks' gestation is associated with a high rate of SPD within 2 weeks of diagnosis.
Rauch
Eden R
ER
Department of Obstetrics and Gynecology, Weill Medical College of Cornell University, New York, NY 10021, USA. eden@internection.com
Jean-Pierre
Claudel
C
Mohan-Saha
Anita
A
Huang
Marilyn
M
Chasen
Stephen
S
D020070:Cervical Ripening; D005260:Female; D006760:Hospitalization; D006801:Humans; D011247:Pregnancy; D047928:Premature Birth / Q000209:etiology*; D012189:Retrospective Studies; D012307:Risk Factors; D016216:Ultrasonography, Prenatal; D002577:Uterine Cervical Diseases / Q000150:complications* / Q000000981:diagnostic imaging