{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:44:19Z","timestamp":1787013859842,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2020,6,3]],"date-time":"2020-06-03T00:00:00Z","timestamp":1591142400000},"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":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Uterine anomalies occur in an estimated 5% of women and have been shown to confer a higher risk of spontaneous preterm birth (SPTB). A sonographically short cervix (&lt;25\u00a0mm) is a risk indicator for SPTB, although its predictive utility has been little studied in this specific high\u2010risk population. We aimed to assess the pregnancy outcomes and predictive ability of short cervix in a cohort of women with uterine anomalies attending a high\u2010risk antenatal clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and methods<\/jats:title>\n                    <jats:p>This historical cohort study assessed all pregnancies in women with congenital uterine anomalies referred to the Preterm labor Clinic at the Royal Women\u2019s Hospital, Melbourne, Australia, between 2004 and 2013. Logistic and linear regressions and receiver\u2010operator curves were used to examine associations between cervical length and preterm birth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>SPTB (&lt;37\u00a0weeks\u2019 gestation) occurred in 23% of the 86 pregnancies (n\u00a0=\u00a020); rates by subgroup were: unicornuate uterus 60% (n\u00a0=\u00a03\/5), uterus didelphys 40% (n\u00a0=\u00a06\/15), bicornuate uterus 18% (n\u00a0=\u00a09\/51), septate uterus 13% (n\u00a0=\u00a02\/15). Preterm prelabor rupture of membranes occurred in 55% of spontaneous preterm births and was not independently associated with the presence of cervical cerclage or ureaplasma urealyticum. Short cervical length was associated with SPTB in women with septate uterus. Short cervix at 24\u00a0weeks (not at 16 or 20\u00a0weeks) was moderately predictive of SPTB\u00a0&lt;\u00a034\u00a0weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Women with uterine anomalies are at increased risk of spontaneous preterm birth, particularly those with unicornuate uterus or uterus didelphys, but cervical surveillance did not identify these cases. Short cervix may be associated with SPTB in women with septate uterus. Preterm prelabor rupture of membranes occurred in 55% of SPTB. More research is required into etiology to help determine appropriate monitoring and treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.13923","type":"journal-article","created":{"date-parts":[[2020,5,21]],"date-time":"2020-05-21T18:54:06Z","timestamp":1590087246000},"page":"1519-1526","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Cervical length surveillance for predicting spontaneous preterm birth in women with uterine anomalies: A cohort study"],"prefix":"10.1111","volume":"99","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3790-7741","authenticated-orcid":false,"given":"Kelly M.","family":"Hughes","sequence":"first","affiliation":[{"name":"Pregnancy Research center Department of Maternal Fetal Medicine The Royal Women's Hospital Parkville VIC Australia"},{"name":"Department of Obstetrics and Gynecology The University of Melbourne Parkville VIC Australia"},{"name":"Department of Obstetrics and gynecology Monash University Clayton VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5172-3263","authenticated-orcid":false,"given":"Stefan C.","family":"Kane","sequence":"additional","affiliation":[{"name":"Pregnancy Research center Department of Maternal Fetal Medicine The Royal Women's Hospital Parkville VIC Australia"},{"name":"Department of Obstetrics and Gynecology The University of Melbourne Parkville VIC Australia"},{"name":"Ultrasound Services Pauline Gandel Women's Imaging center The Royal Women's Hospital Parkville VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3150-6154","authenticated-orcid":false,"given":"Terrence P.","family":"Haines","sequence":"additional","affiliation":[{"name":"School of Primary and Allied Health Care Monash University, Peninsula Campus Frankston VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2753-5243","authenticated-orcid":false,"given":"Penelope M.","family":"Sheehan","sequence":"additional","affiliation":[{"name":"Pregnancy Research center Department of Maternal Fetal Medicine The Royal Women's Hospital Parkville VIC Australia"},{"name":"Department of Obstetrics and Gynecology The University of Melbourne Parkville VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,3]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.10056"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/aji.12296"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.1251816"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1515\/jpm-2016-0075"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2000-13723"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0b013e3182487e96"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199602293340904"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)34884-8"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.15781"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000173987.59595.e2"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2012.675372"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.05.032"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12610"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)59942-7"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000228"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1089\/154099904322836438"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1047"},{"key":"e_1_2_10_19_1","unstructured":"National Health & Medical Research Council.When does quality assurance in health care require independent ethical review? Advice to institutions Human Research Ethics Committees and Health Care Professionals 2003. NHMRC; 20\/09\/2014. Commonwealth of Australia.https:\/\/www.nhmrc.gov.au\/sites\/default\/files\/documents\/attachments\/ethical\u2010considerations\u2010in\u2010quality\u2010assurance\u2010and\u2010evaluation\u2010activites.pdf. Accessed March 30 2019."},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.332.7549.1080"},{"key":"e_1_2_10_21_1","first-page":"2573","article-title":"The association between Mullerian anomalies and short\u2010term pregnancy outcome","volume":"29","author":"Hiersch L","year":"2016","journal-title":"J Matern Fetal Neonatal Med"},{"key":"e_1_2_10_22_1","unstructured":"Australia\u2019s mothers and babies 2015\u2014in brief. In:Welfare AIoHa editor.Canberra:AIHW;2017.https:\/\/www.aihw.gov.au\/reports\/mothers\u2010babies\/australias\u2010mothers\u2010babies\u20102015\u2010in\u2010brief\/contents\/table\u2010of\u2010contents. 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