Measurement of cervical biometry using transvaginal ultrasonography in predicting preterm labor

Tanvir,; Ghose, Seetesh; Samal, Sunita; Armugam, Sedhilcoumari; Parida, Pallavee

doi:10.4103/0976-9668.136189

Cited by 10 publications

(5 citation statements)

References 9 publications

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“…This is statistically significant and suggest that shorter the cervical length more is the risk of preterm delivery. This is consistent with the result of study by Mathur S et al 6 and Tanvir et al 7 which also shows positive correlation. Hence, it can be concluded that nearly 1/2 to 2/3 of women with short cervical length <25mm deliver preterm unless certain precautions are taken.…”

Section: Discussionsupporting

confidence: 93%

A prospective study of prediction of preterm delivery by cervical assessment by transvaginal sonography

Arora

Bodade²,

Bodade³

et al. 2021

IJOGR

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Preterm birth is a major cause of death and a significant cause of long-term loss of human potential amongst survivors all around the world. Complications of preterm birth are the single largest direct cause of neonatal deaths, responsible for 35% of the world’s 3.1 million deaths a year, and the second most common cause of under-5 deaths after pneumonia. In this study, an attempt has been made to evaluate the usefulness of cervical assessment by TVS in prediction of risk of preterm delivery in low risk pregnant women, thereby earlier management option can be planned and patients specific treatment can be given at the earliest. The present study was carried out in tertiary care teaching hospital for 1 year from 1 Jan 2019 to 31 Dec 2019. Total of 100 study participants who underwent TVS assessments of cervix regularly followed up who underwent TVS assessment of cervix and were regularly follow up and delivered. The mean cervical length in all these women was 30±6.68 mm. It was observed that 51.72% of patients with short cervical length less than 25 mm had preterm labour compared to the patients with cervical length more than 25mm i.e. 4.22%. Cervical assessment by TVS is effective in predicting preterm labour.

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Section: Discussionsupporting

confidence: 93%

A prospective study of prediction of preterm delivery by cervical assessment by transvaginal sonography

Arora

Bodade²,

Bodade³

et al. 2021

IJOGR

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“…It needs to be considered that in this study we excluded primipara women which were included in other studies. (21)(22)(23).…”

Section: Discussionmentioning

confidence: 99%

Inter-Pregnancy Interval and the Incidence of Preterm Birth

Asgharnia

Varasteh

Pourmarzi

2020

JFRH

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Objective: Preterm birth is associated with high rates of neonatal morbidity and mortality. This study aimed to investigate the relationship between inter-pregnancy interval and the incidence of preterm birth. Materials and methods: In a case-control study, 185 women with preterm delivery and 185 women with term delivery were included. Data including inter-pregnancy interval, demographic characteristics, history of prenatal and neonatal complications, parity, gravidity, type of delivery, and smoking status were collected. Results: The mean of the inter-pregnancy interval in the case and control groups were 79.84 ± 45.55 months and 78.49 ± 41.29 months, respectively (P = 0.767). Inter-pregnancy interval 12-month or less in comparison with Inter-pregnancy interval more than 24 months significantly increased the odds of preterm delivery (OR: 4.05, 95% CI: 1.06-15.39, p = 0.040). However, inter-pregnancy interval of 13-24 months was not a risk factor when compared with more than 24-month inter-pregnancy interval (OR: 1.54, 95% CI: 0.62-3.80, p = 0.351). Having an educational level less than high school in comparison with tertiary level decreased the odds of preterm delivery (OR: 0.25, 95% CI: 0.11-0.56, P = 0.040). With each increase in number of gravidity odds of preterm delivery increased by 1.5 times (95% CI: 1.11-2.04, P = 0.009). Having a history of preterm delivery (OR: 2.57, 95% CI: 1.17-5.64, P = 0.019) and experiencing preeclampsia (OR: 1.98, 95% CI: 1.06-3.68, P = 0.032) increased the odds of preterm delivery. Conclusion: Inter-pregnancy interval of 12-month or less in comparison with more than 2-year inter-pregnancy interval, experiencing preeclampsia, history of preterm delivery and increased number of gravidity increase the risk of preterm delivery. Health care providers need to be informed with the appropriate inter-pregnancy interval and counsel women to make an informed decision regarding their pregnancy.

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“…Research in useful prediction models may reduce health care costs and perinatal complications. Cervical length is a sensitive and simple method to predict the risk for PD (19) . While a short CL is for predicTinG imminenT preTerm delivery (X aXis: "1specifici-Ty"; y aXis: sensiTiviTy).…”

Section: Discussionmentioning

confidence: 99%

Utilidad pronóstica de la longitud cervical e índice de pulsatilidad de la arteria uterina en el parto pretérmino inminente en pacientes sintomáticas

Mejia-Montilla

Reyna-Villasmil

Torres-Cepeda

et al. 2020

Rev peru ginecol obstet.

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Objetivo. Establecer la utilidad pronóstica de la longitud cervical e índice de pulsatilidad de la arteria uterina en el parto pretérmino inminente en pacientes sintomáticas. Diseño. Estudio de casos-controles. Institución. Hospital Central “Dr. Urquinaona”, Maracaibo, Venezuela. Participantes. Pacientes con parto pretérmino en los siguientes 7 días (grupo A) y embarazadas con parto pretérmino más allá de los 7 días (grupo B). Métodos. Las mediciones de la longitud cervical e índice de pulsatilidad de la arteria uterina se realizaron al ingreso de las gestantes al hospital y todas fueron seguidas hasta el parto. Principales medidas de resultado. Características generales, longitud cervical, índice de pulsatilidad de la arteria uterina, parto pretérmino inminente y eficacia pronóstica. Resultados. 119 participantes fueron asignadas al grupo A y 362 pacientes al grupo B. La longitud cervical fue menor en el grupo A, mientras que el índice de pulsatilidad de la arteria uterina fue mayor comparado con el grupo B (p < 0,0001). La medición de la longitud cervical presentó un valor de área bajo la curva de 0,972, mientras que el índice de pulsatilidad de la arteria uterina mostró un área bajo la curva de 0,843. La diferencia de la diferencia entre ambas mediciones se consideró estadísticamente significativa (p < 0,001). La combinación de ambas mediciones tuvo un valor bajo la curva significativamente superior en capacidad de predicción (0,987) comparada con ambas mediciones en forma individual (p < 0,0001). Conclusión. El uso combinado de las mediciones de la longitud cervical y el índice de pulsatilidad de la arteria uterina resultó útil en la predicción de parto pretérmino inminente en pacientes sintomáticas.

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Measurement of cervical biometry using transvaginal ultrasonography in predicting preterm labor

Cited by 10 publications

References 9 publications

A prospective study of prediction of preterm delivery by cervical assessment by transvaginal sonography

A prospective study of prediction of preterm delivery by cervical assessment by transvaginal sonography

Inter-Pregnancy Interval and the Incidence of Preterm Birth

Utilidad pronóstica de la longitud cervical e índice de pulsatilidad de la arteria uterina en el parto pretérmino inminente en pacientes sintomáticas

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