Cervical gland area: a new sonographic marker in predicting preterm delivery

Afzali, Narges; Mohajeri, Marzieh; Malek, Abdolreza; Alamatian, Atefeh

doi:10.1007/s00404-011-1986-7

Cited by 20 publications

(17 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Regarding the assessment of tissue elasticity, several strategies such as the cervical consistency index [59] and a cervical aspiration device [60] have also been evaluated. The absence of the cervical gland area has also been proposed as a predictor of preterm birth [61,62]. …”

Section: Resultsmentioning

confidence: 99%

Definition of Failed Induction of Labor and Its Predictive Factors: Two Unsolved Issues of an Everyday Clinical Situation

et al. 2015

View full text Add to dashboard Cite

Objective: The objectives of this review were to identify the predictive factors of induction of labor (IOL) failure or success as well as to highlight the current heterogeneity regarding the definition and diagnosis of failed IOL. Materials and Methods: Only studies in which the main or secondary outcome was failed IOL, defined as not entering the active phase of labor after 24 h of prostaglandin administration ± 12 h of oxytocin infusion, were included in the review. The data collected were: study design, definition of failed IOL, induction method, IOL indications, failed IOL rate, cesarean section because of failed IOL and predictors of failed IOL. Results: The database search detected 507 publications. The main reason for exclusion was that the primary or secondary outcomes were not the predetermined definition of failed IOL (not achieving active phase of labor). Finally, 7 studies were eligible. The main predictive factors identified in the review were cervical status, evaluated by the Bishop score or cervical length. Discussion: Failed IOL should be defined as the inability to achieve the active phase of labor, considering that the definition of IOL is to enter the active phase of labor. A universal definition of failed IOL is an essential requisite to analyze and obtain solid results and conclusions on this issue. An important finding of this review is that only 7 of all the studies reviewed assessed achieving the active phase of labor as a primary or secondary IOL outcome. Another conclusion is that cervical status remains the most important predictor of IOL outcome, although the value of the parameters explored up to now is limited. To find or develop predictive tools to identify those women exposed to IOL who may not reach the active phase of labor is crucial to minimize the risks and costs associated with IOL failure while opening a great opportunity for investigation. Therefore, other predictive tools should be studied in order to improve IOL outcome in terms of health and economic burden.

show abstract

Section: Resultsmentioning

confidence: 99%

Definition of Failed Induction of Labor and Its Predictive Factors: Two Unsolved Issues of an Everyday Clinical Situation

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Several markers in asymptomatic women, including serum proteins, ultrasound imaging, and cervicovaginal proteins, have been suggested as predictive tests for preterm birth. [27][28][29] The development of additional non-invasive biomarkers for the prediction of preterm birth in twins would be very valuable.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Mid-trimester amniotic fluid pro-inflammatory biomarkers predict the risk of spontaneous preterm delivery in twins: a retrospective cohort study

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Other methods are able to assess cervical biomechanical characteristics such as distensibility and tissue stiffness [30][31][32][33][34][35][36] , uterine cervix composition and optical characteristics [37][38][39][40][41][42][43] . Unfortunately, most of these methods are invasive and evaluate only a specific part of the cervix, which is an important limitation taking into account the heterogeneity of the uterine cervix structure.…”

Section: Discussionmentioning

confidence: 99%

Quantitative Analysis of the Cervical Texture by Ultrasound and Correlation with Gestational Age

Baños

Perez‐Moreno²,

Triginer³

et al. 2016

Fetal Diagn Ther

View full text Add to dashboard Cite

Objectives: Quantitative texture analysis has been proposed to extract robust features from the ultrasound image to detect subtle changes in the textures of the images. The aim of this study was to evaluate the feasibility of quantitative cervical texture analysis to assess cervical tissue changes throughout pregnancy. Methods: This was a cross-sectional study including singleton pregnancies between 20.0 and 41.6 weeks of gestation from women who delivered at term. Cervical length was measured, and a selected region of interest in the cervix was delineated. A model to predict gestational age based on features extracted from cervical images was developed following three steps: data splitting, feature transformation, and regression model computation. Results: Seven hundred images, 30 per gestational week, were included for analysis. There was a strong correlation between the gestational age at which the images were obtained and the estimated gestational age by quantitative analysis of the cervical texture (R = 0.88). Discussion: This study provides evidence that quantitative analysis of cervical texture can extract features from cervical ultrasound images which correlate with gestational age. Further research is needed to evaluate its applicability as a biomarker of the risk of spontaneous preterm birth, as well as its role in cervical assessment in other clinical situations in which cervical evaluation might be relevant.

show abstract

Cervical gland area: a new sonographic marker in predicting preterm delivery

Abstract: Non detection of CGA at second trimester ultrasonography is a predictor of preterm delivery.

Cited by 20 publications

References 13 publications

Definition of Failed Induction of Labor and Its Predictive Factors: Two Unsolved Issues of an Everyday Clinical Situation

Definition of Failed Induction of Labor and Its Predictive Factors: Two Unsolved Issues of an Everyday Clinical Situation

Mid-trimester amniotic fluid pro-inflammatory biomarkers predict the risk of spontaneous preterm delivery in twins: a retrospective cohort study

Quantitative Analysis of the Cervical Texture by Ultrasound and Correlation with Gestational Age

Contact Info

Product

Resources

About