Cervical Evaluation: From Ancient Medicine to Precision Medicine.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 28594774.
- Also identified by DOI 10.1097/AOG.0000000000002106 and PMC identifier 5503468.
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Abstract
Since ancient times, cervical assessment for predicting timing of delivery has relied primarily on digital (subjective) assessment of dilatation, softening, and length. To date, transvaginal ultrasound cervical length is the only one of these parameters that meets criteria for a biomarker; no objective, quantitative measure of cervical dilatation or softening has gained clinical acceptance. This review discusses how the cervix has been assessed from ancient times to the present day and how a precision medicine approach could improve understanding of not only the cervix, but also parturition in general.
Medical subject headings
- Uterine Cervical Incompetence