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There are no absolute objective diagnostic criteria for cervical incompetence. Abdominal and endovaginal ultrasonographic assessment of endocervical length, both of which have been associated with technical problems, have been used to establish the diagnosis. Cervical cerclage may be useful in preventing silent cervical dilatation; however, no prospective trials with and without cerclage have been performed when endocervical shortening has been demonstrated by ultrasonography.
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Diagnosis of cervical change in pregnancy by means of transvaginal ultrasonography.
Joffe GM et al., 1992
Joffe GM, Del Valle GO, Izquierdo LA, Gilson GJ, Smith JF, Chatterjee MS, Curet LB
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