{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-92U4BYPA/fc31e542-ba34-4be6-862d-e5b625beb235/HTML","dcterms:extent":"27 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-92U4BYPA/6ea08274-9c0b-4bb9-a079-925f907fbe20/PDF","dcterms:extent":"87 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-92U4BYPA/9419bf2c-e044-4cf7-b4ae-bba16f9101a8/TEXT","dcterms:extent":"25 KB"}],"edm:TimeSpan":{"@rdf:about":"1929-2026","edm:begin":{"@xml:lang":"en","#text":"1929"},"edm:end":{"@xml:lang":"en","#text":"2026"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:doc-92U4BYPA","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/urn:nbn:si:spr-a30mfzkp"},{"@xml:lang":"sl","#text":"Zdravniški vestnik"}],"dcterms:issued":"2009","dc:creator":"Mujezinović, Faris","dc:format":[{"@xml:lang":"sl","#text":"številka:1"},{"@xml:lang":"sl","#text":"letnik:78"},{"@xml:lang":"sl","#text":"str. I-85-I-89"}],"dc:identifier":["ISSN:1318-0347","COBISSID:3485247","URN:URN:NBN:SI:doc-92U4BYPA"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"dc:subject":[{"@xml:lang":"en","#text":"Cervix Uteri"},{"@xml:lang":"sl","#text":"ginekologija"},{"@xml:lang":"en","#text":"human pregnancy"},{"@xml:lang":"en","#text":"Labor, Premature"},{"@xml:lang":"sl","#text":"Maternični vrat"},{"@xml:lang":"sl","#text":"nosečnost"},{"@xml:lang":"sl","#text":"predzgodnji porod"},{"@xml:lang":"sl","#text":"Prezgodnji porod"},{"@xml:lang":"sl","#text":"Progesteron"},{"@xml:lang":"en","#text":"Progesterone"},{"@xml:lang":"sl","#text":"Ultrasonografija"},{"@xml:lang":"en","#text":"ultrasonography"}],"dcterms:temporal":{"@rdf:resource":"1929-2026"},"dc:title":{"@xml:lang":"sl","#text":"Kratek maternični vrat - kaj pa zdaj?| Short cervix - what now?|"},"dc:description":[{"@xml:lang":"sl","#text":"Background. It is possible to predict preterm delivery (PD) before 34 weeks byultrasound measurement of uterine cervical length (CL). This is the reason why this screening method is more frequently used in clinical practice. Methods. I extracted from PubMed database Crane's sistematic review and articles about association of CL with PD and instructions what is necessary to take into consideration and what to do in case of a short cervix. Results. Majority of studies suggested CL of 25 mm as a cut-off point for selecting pregnancy as high risk of PD. Minority of studies also used 15 mm as a cut-offpoint. This inconsistency in selecting an unique cut-off point, as some authors showed, is a result of ignoring gestational age when measurement of CL is made. CL is usually measured until 24 weeks of pregnancy and value of US measurement of CL made later in pregnancy or role of follow-up measurements are still unclear. In cases with threatened preterm labour where CL is measured there was 66 % reduction of unnecessary tocolysis. US measurement of CL is of a little value if there is a progressive dilatation of cervix (Bishop score > 6). Shirodkar cerclage in women with short cervix does not reduce the risk for PD. Vaginal progesteron causes a 50 % decrease of incidence of PD in women with short cervix (CL < 15 mm). We do not know which form of vaginal progesteron is most effective. Progesteron is uneffective in women with PD in previous pregnancy and CL > 25 mm. Conclusions. US measurement of CL becomes reliable criteria for detecting pregnancies with increased risk for PD before 34 weeks of pregnancy. It enables individual risk calculation for PD with consideration of other risk factors"},{"@xml:lang":"sl","#text":"Izhodišča. Z ultrazvočno (UZ) meritvijo dolžine materničnega vratu (MV) lahko ocenimo tveganje za prezgodnji porod pred 34. tednom nosečnosti za vsako posamezno nosečnico. Zato se ta presejalna metoda vse pogosteje uporablja v klinični praksi. Metode. Iz medicinske baze podatkov (PubMed) sem izbral Craneov sistematičen pregled in raziskave o povezanosti dolžine MV s prezgodnjim porodom in navodila, kaj je potrebno upoštevati pri UZ meritvi dolžine MV ter kaj narediti v primeru skrajšanega MV. Rezultati. Največje število raziskav ocenjuje, da je 25 mm dolg MV presečna vrednost za uvrstitev nosečnosti v skupino z visokim tveganjem za prezgodnji porod. Manjše število raziskav pa ocenjuje, da je presečna vrednost 15 mm. Te razlike v poročanju sopo nekaterih avtorjih posledica neupoštevanja gestacijske starosti, pri kateri je bila meritev opravljena. Dolžina MV do 25 mm se meri do 24. tedna nosečnosti, vrednost zaporednih ali kasnejših meritev pa ostaja še vedno nejasna. V primeru prezgodnjih popadkov UZ meritev dolžine MV za 66 % zniža nepotrebno tokolizo. Pri nosečnicah z odprtim MV (Bishop score > 6) ima UZ meritev majhno vrednost. Shirodkarjeva serklaža pri ženskah s kratkim MV ne zmanjša tveganja za prezgodnji porod. Vaginalna uporaba progesterona za polovico zmanjša možnost prezgodnjega poroda pri ženskah s kratkim MV (< 15 mm). Ne vemo pa, katera oblika vaginalnega progesterona je najbolj učinkovita.Progesteron pa je pri ženskah s prezgodnjim porodom v prejšnji nosečnosti s primerno dolgim MV (> 25 mm) v sedanji nosečnosti neučinkovit. Zaključki. UZ meritev dolžine MV postaja zanesljivo merilo za odkrivanje nosečnic s povečanim tveganjem za prezgodnji porod pred 34. tednom nosečnosti. Omogoča individualni izračun tveganja tudi ob drugih obremenjujočih dejavnikih"}],"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:doc-92U4BYPA","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:doc-92U4BYPA"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:doc-92U4BYPA/6ea08274-9c0b-4bb9-a079-925f907fbe20/PDF"},"edm:rights":{"@rdf:resource":"http://creativecommons.org/licenses/by-nc/4.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:doc-92U4BYPA/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:doc-92U4BYPA"}}}}