Evidence map›Paper›PMID 26776146›Full record

ReviewSeminars in fetal & neonatal medicine2016

Cervical etiology of spontaneous preterm birth.

Joy Vink, Helen Feltovich

Abstract readReview
In one paragraph

Review in Seminars in fetal & neonatal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

67 citing papers in PubMed.

  1. Trial
  2. Biomechanical function of the murine cervix with elastic fiber deficiency.Journal of the mechanical behavior of biomedical materials · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Women's Pregnancy Experiences With a Transvaginal Cervical Cerclage: A Qualitative Study.BJOG : an international journal of obstetrics and gynaecology · 2025
    Article
  14. Article
  15. Observational
  16. Review
  17. Equilibrium Mechanical Properties of the Nonhuman Primate Cervix.Journal of biomechanical engineering · 2024
    Article
  18. Article
  19. Article
  20. Article

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Joy VinkMaternal-Fetal Medicine, Department of Obstetrics & Gynecology, Columbia University Medical Center, New York, NY, USA.
Helen FeltovichDepartment of Medical Physics, University of Wisconsin-Madison, Madison, WI, USA; Maternal-Fetal Medicine, Intermountain Healthcare, Utah Valley Regional Medical Center, Provo, UT, USA. Electronic address: hfeltovich@gmail.com.

Funding

Monitoring Changes in Cervical Microstructure During PregnancyR01HD072077 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI FELTOVICH, HELEN, HALL, TIMOTHY J · 2013 to 2022
$6.1M
Quantifying Cervical Softness with Elasticity ImagingR21HD063031 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI FELTOVICH, HELEN, HALL, TIMOTHY J · 2010 to 2011
$415k
Detecting changes in cervical microstructure with quantitative ultrasoundR21HD061896 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI HALL, TIMOTHY J · 2009 to 2010
$395k
NICHD NIH HHS R01 HD072077NICHD NIH HHS R01HD072077NICHD NIH HHS R21 HD061896NICHD NIH HHS R21 HD063031NICHD NIH HHS R21HD063031
6 · The paper itself

Abstract

The cervix functions as a barrier between the uterus and vagina and keeps the uterus closed until term so that the fetus can develop. For delivery the cervix must soften and dilate, and finally reconstitute to close the uterus. This complex process involves precisely timed activation of molecular and microstructural events. Spontaneous preterm birth (sPTB) can result from aberrant timing of these events in the cervix. Unfortunately, the pathophysiology of sPTB due to cervical causes remains unclear and thus our treatment options remain limited - even if all appropriate candidates were identified and correctly treated with currently available interventions, the rate of sPTB would only be reduced by 5%. Very recent molecular and microstructural investigation is challenging prevailing concepts about cervical remodeling in pregnancy. We believe that progress toward novel, targeted solutions for the diverse pathways to sPTB entails a paradigm shift in which the overlapping and complex interactions between the cervix, uterus, membranes, fetus, placenta, and surrounding (structural and molecular) environment are suitably honored.

Indexed as

Cervical RipeningCervix UteriEarly DiagnosisFemaleHumansPregnancyPremature BirthPrenatal DiagnosisUterine Cervical IncompetenceCervical insufficiencyCervical microstructural assessmentCervical remodelingCervical ripeningSpontaneous preterm birth

Identifiers

PMID26776146
PMCPMC4798922

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.