{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T01:17:58Z","timestamp":1776820678739,"version":"3.51.2"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,8,28]],"date-time":"2022-08-28T00:00:00Z","timestamp":1661644800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the impact of asymptomatic cervical shortening (ACS) at mid\u2010trimester on maternal and neonatal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective cohort study. Women with singleton gestations and an accidental finding of cervical length of 25\u2009mm or less at mid\u2010trimester were compared with women with symptomatic cervical shortening (SCS) and women with normal cervical length (NCL). Primary outcome was preterm birth (PTB) rate; secondary outcomes included total hospitalization length, betamethasone treatment rate, and a composite of PTB neonatal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all, 1483 women were diagnosed with ACS. There was no difference in early and late PTB rate between the ACS and NCL groups (4.9% versus 3.8%, <jats:italic>P<\/jats:italic>\u00a0=\u20090.25), though there was a significantly higher rate of antenatal corticosteroids use in the ACS group (78.2% versus 7.4%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001). A CL of 15\u2009mm or less was significantly associated with both early and late PTB, compared with the NCL group (47.2% versus 3.6%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001, and 35.8% versus 3.8%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>An ACS of 15\u201325\u2009mm is not associated with an increased risk of PTB. In contrast, women with a CL of 15\u2009mm or less are more likely to delivery prematurely compared with women with a CL greater than 15\u2009mm.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14396","type":"journal-article","created":{"date-parts":[[2022,8,13]],"date-time":"2022-08-13T10:28:11Z","timestamp":1660386491000},"page":"218-224","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Is 25\u2009mm the correct mid\u2010trimester cut\u2010off for cervical shortening among asymptomatic women?"],"prefix":"10.1002","volume":"161","author":[{"given":"Roy","family":"Lauterbach","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Rambam Health Care Campus  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gal","family":"Bachar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Rambam Health Care Campus  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2327-3402","authenticated-orcid":false,"given":"Naphtali","family":"Justman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Rambam Health Care Campus  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoav","family":"Siegler","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Rambam Health Care Campus  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nizar","family":"Khatib","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Rambam Health Care Campus  Haifa Israel"},{"name":"Bruce Rappaport Faculty of Medicine Technion\u2010Israel Institute of Technology  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeev","family":"Weiner","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Rambam Health Care Campus  Haifa Israel"},{"name":"Bruce Rappaport Faculty of Medicine Technion\u2010Israel Institute of Technology  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dana","family":"Vitner","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Rambam Health Care Campus  Haifa Israel"},{"name":"Bruce Rappaport Faculty of Medicine Technion\u2010Israel Institute of Technology  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,8,28]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767050600965882"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1470-0328(03)00021-1"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60820-4"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-0377"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2015.07.067"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000277261.92756.1a"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.06.069"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000443276.68274.cc"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2003.11.025"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000864"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000168435.17200.53"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007235.pub4"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.04.027"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004480"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2014.10.011"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1159\/000477930"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.29252\/ijrm.15.11.697"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443615.2017.1419461"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.09.002"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2020.35.e26"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181924d3b"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1210\/en.2006-1306"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1172\/JCI30982"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-018-3316-2"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2011.576723"}],"container-title":["International Journal of Gynecology &amp; 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