 |
|
Study casts doubt over widely practised surgical procedure to reduce premature birth (p 1849)
June 02, 2004A common surgical procedure to prevent the cervix opening during pregnancy-thought to reduce the risk of preterm delivery-is called into question by results of a study in this week's issue of THE LANCET.
Cervical cerclage (stitching to keep the cervix closed) has been widely used in the past 50 years to prevent early preterm birth. Kypros Nicolaides from Kings College Hospital, London, UK, and colleagues used ultrasound screening to identify women with a short cervix (assumed to be at a higher risk of premature delivery) and randomized 250 such women to receive either cervical cerclage or no surgery.
Only a small decrease in the proportion of premature births (defined as delivery at or before 33 weeks pregnancy) occurred among women given cervical cerclage (22%) compared with women not given surgery (26%). These proportions are far higher than the UK average for risk of premature delivery (1.5%), highlighting how the ultrasound measurement identified a subgroup of women with small cervices at a high risk of preterm delivery.
Professor Nicolaides comments: "The insertion of a Shirodkar suture in women with a short cervix does not substantially reduce the risk of early preterm delivery. Routine sonographic measurement of cervical length at 22-24 weeks identifies a group at high risk of early preterm birth."
Lancet
Science Research Departments
Earth Science
Alternative Energy | Anthropology and Archaeology | Earthquakes and Volcanoes | Environment and Nature News | Global Warming | High-Energy and Particle Physics | Ozone Hole | Scientists Slow Light | Tsunami
Space Science
Astronomy and Space News | Black Holes | Chandra X-Ray Observatory | Extrasolar Planets | Hubble Telescope | International Space Station | Jupiter Galileo Mission | Jupiter Cassini Mission Flyby | Mars Exploration | Mars Odyssey 2001 | Mars Global Surveyor | Mars Polar Lander | Mars Climate Orbiter | Mars Pathfinder | Meteors and Asteroids | Mir Space Station | NEAR Asteroid Probe Mission | Pluto Planet Debate | Search for Extraterrestrial Life | Space Shuttle Program | Space Shuttle Mission: STS-102 | Space Weather
Life Science
Animal News | Biotechnology and Genetics | Brain Research | Human Cloning | Dinosaur and Fossil Discoveries | Endangered Species | Gene Therapy | Genetically Modified Food | Stem Cell Research | Whales and Whaling
 | The Everything Kids' Science Experiments Book: Boil Ice, Float Water, Measure Gravity-Challenge the World Around You! (Everything Kids Series) by Tom Robinson Science has never been so easy - or so much fun! With The Everything Kids' Science Experiments Book, all you need to do is gather a few household items and you can recreate dozens of mind-blowing, kid-tested science experiments. High school science teach Tom Robinson shows you how to expand your scientific horizons - from biology to chemistry to physics to outer space. You'll discover... |
 | Light: Science and Magic: An Introduction to Photographic Lighting by Fil Hunter, Steven Biver, Paul Fuqua An amazing (and some would say magical) resource on photographic lighting that has been talked about in the community and recommended for years. This highly respected guide has been thoroughly updated and revised for content and design - it is now produced in full color! It introduces a logical theory of photographic lighting so if you are starting out in photography you will learn how to... |
 | Principles of Environmental Science by William Cunningham, Mary Ann Cunningham Rather than the 25 to 30 chapters found in most environmental science textbooks, the authors have limited Principles of Environmental Science: Inquiry and Applications to 15 chapters--perfect for the one-semester, non-majors environmental science course. True to its title, the goal of this concise text is to provide an up-to-date, introductory view of essential themes in environmental science... |
 | The Best American Science and Nature Writing 2008 (The Best American Series) "The articles . . . draw the reader more tightly into the web of the world. They forge links in unexpected ways. They connect us to nature and to each other, and those connections nourish the intellect and uplift the spirit."—Jerome Groopman, M.D., editorThis year's Best American Science and Nature Writing offers another rich assortment of "fascinating science and impressive journalism" (New... |
 | On Food and Cooking: The Science and Lore of the Kitchen by Harold McGee Harold McGee's On Food and Cooking is a kitchen classic. Hailed by Time magazine as "a minor masterpiece" when it first appeared in 1984, On Food and Cooking is the bible to which food lovers and professional chefs worldwide turn for an understanding of where our foods come from, what exactly they're made of, and how cooking transforms them into something new and delicious. Now, for its... |
 | Science Fair by Dave Barry, Ridley Pearson Grdankl the Strong, president of Kprshtskan, is plotting to take over the American government. His plan is to infiltrate the science fair at Hubble Middle School, located in a Maryland suburb just outside Washington. The rich kids at Hubble cheat by buying their projects every year, and Grdankl's cronies should have no problem selling them his government-corrupting software. But this year, Toby... |
 | Influence: Science and Practice (5th Edition) by Robert B. Cialdini Influence: Science and Practiceis an examination of the psychology of compliance (i.e. uncovering which factors cause a person to say "yes" to another's request). Written in a narrative style combined with scholarly research, Cialdini combines evidence from experimental work with the techniques and strategies he gathered while working as a salesperson, fundraiser, advertiser, and in other... |
 | Statistics for the Behavioral Sciences by Frederick J Gravetter, Larry B. Wallnau By far the best-selling introduction to statistics for users in the behavioral and social sciences, this book continues to offer straightforward instruction, accuracy, built-in learning aids, and real-world examples. The goal of STATISTICS FOR THE BEHAVIORAL SCIENCES, 8th Edition is to not only teach the methods of statistics, but also to convey the basic principles of objectivity and logic that... |
 | The Science of Psychology: An Appreciative View by Laura King Why Things Go Right. The Science of Psychology: An Appreciative View by Laura King (University of Missouri at Columbia) is the first text to bring a truly appreciative view of psychology-as a science and for exploring behavior-to introductory students. It is built around the idea that students must study the discipline of psychology as a whole, that the sub-disciplines are intricately connected,... |
 | The Science of Getting Rich by Wallace D. Wattles A simple way to create wealth and happiness in your... |
| © 2009 BrightSurf.com |