Bioengineering and the cervix: The past, current, and future for addressing preterm birth

Abstract

The uterine cervix plays two important but opposing roles during pregnancy – as a mechanical barrier that maintains the fetus for nine months and as a compliant structure that dilates to allow for the delivery of a baby. In some pregnancies, however, the cervix softens and dilates prematurely, leading to preterm birth. Bioengineers have addressed and continue to address the lack of reduction in preterm birth rates by developing novel technologies to diagnose, prevent, and understand premature cervical remodeling. This article highlights these existing and emerging technologies and concludes with open areas of research related to the cervix and preterm birth that bioengineers are currently well-positioned to address.

Keywords

• Cervix
• Preterm birth
• Bioengineering
• Remodeling