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Short Cervix in a Patient With Twin Gestation

Gandhi, Manisha MD; Fox, Nathan S. MD

doi: 10.1097/AOG.0000000000002037
Contents: Clinical Conundrums
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A 28-year-old woman, gravida 1 para 0, with twin gestation presents for routine anatomic survey at 20 weeks of gestation without any complaints. On transabdominal ultrasonography, the ultrasonographer notes concern for cervical funneling and proceeds to perform a transvaginal ultrasonogram, which reveals a short cervix of 18 mm.

Limited interventions are available for management of twin gestations in women with a short cervix for prevention of spontaneous preterm birth.

Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas; and the Department of Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, New York.

Corresponding author: Nathan S. Fox, MD, Department of Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, 70 East 90th Street, New York, NY 10128; email: nfox@mfmnyc.com.

The Clinical Conundrums feature is an invited article type developed for clinicians who sometimes are faced with either clinical situations or patient questions for which little (if any) information is available to guide decision-making. Clinicians have all been faced with a situation in which they approach a trusted colleague and ask, “Can I run something by you?” The Clinical Conundrums feature attempts to provide answers to those types of questions.

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2017 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.