Transperineal versus transvaginal ultrasound cervical length measurement and preterm labor

“…However, some studies [2,4] differ in inclusion criteria and the results should be discussed in the appropriate specific context. The majority of studies in the literature have concluded that there is good correlation between the two methods.…”

mentioning

confidence: 99%

Transperineal ultrasonography for measuring cervical length during preterm labor

Dimassi

Hammami

Triki

et al. 2016

Intl J Gynecology & Obste

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“…The average difference of .2 mm between cervical length measurements using TVUS and TPUS was negligible. However, in most cases TPUS underestimated cervical length, a finding that is similar to those of previous published studies . The TPUS cervical length measurement was reproducible with high intraobserver and interobserver correlation.…”

Section: Discussionsupporting

confidence: 89%

“…Transabdominal US of the cervix may not produce clear images of the cervix and result in erroneous measurements . Many studies have demonstrated the correlation between TPUS and TVUS measurements of cervical length throughout all trimesters . In addition, pregnant women tend to prefer TPUS measurements .…”

Section: Introductionmentioning

confidence: 99%

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Transperineal versus transvaginal sonographic measurements of cervical length in pregnant women between 16 and 24 weeks of gestation

Songserm

Komwilaisak

Saksiriwuttho

et al. 2019

J of Clinical Ultrasound

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Purpose To investigate the correlation between cervical length measurements using transvaginal and transperineal approaches at 16‐24 weeks of gestation. Methods The prospective study recruited 110 singleton pregnant women. All the measurements were performed by one operator who was blinded to the results of both approaches. Cervical length was first measured by transvaginal sonography (TVUS) then transperineal sonography (TPUS). The transvaginal approach was used as the reference measurement. Patient preference regarding the sonographic approaches was evaluated using questionnaire. Results Cervical length was successfully measured by TVUS in all cases. TPUS was successful in 108/110 participants. There was high correlation between the results of TVUS and TPUS (Pearson's correlation coefficient was .94; 95% CI .9 to .95. Lin's concordance correlation coefficient was .94; 95% CI .92‐.96). The estimated difference in cervical length measured using TVUS and TPUS was .2 mm. The 95% tolerance interval for paired observation was −1.8 to 2.3 mm. The interobserver coefficient of TPUS measurement was .98 (95% CI .92‐.99). TPUS was rated as resulting in mild or no discomfort and was preferred by most women. Conclusion TVUS and TPUS techniques showed high correlation in cervical length measurement with high interobserver reliability. More patients preferred TPUS. TPUS should be considered as an alternative method of cervical length measurement.

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Cervical assessment by ultrasound for preventing preterm delivery

Berghella

Saccone

2019

Cochrane Database of Systematic Reviews

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Part of the Obstetrics and Gynecology Commons This Article is brought to you for free and open access by the Jefferson Digital Commons. The Jefferson Digital Commons is a service of Thomas Jefferson University's Center for Teaching and Learning (CTL). The Commons is a showcase for Jefferson books and journals, peer-reviewed scholarly publications, unique historical collections from the University archives, and teaching tools. The Jefferson Digital Commons allows researchers and interested readers anywhere in the world to learn about and keep up to date with Jefferson scholarship. This article has been accepted for inclusion in Department of Obstetrics and Gynecology Faculty Papers by an authorized administrator of the Jefferson Digital Commons.

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Transperineal versus transvaginal ultrasound cervical length measurement and preterm labor

Abstract: In case of preterm labor, cervical length measurement with transperineal ultrasonography seems reproducible and can be performed by the obstetric team on duty.

Cited by 14 publications

References 15 publications

Transperineal ultrasonography for measuring cervical length during preterm labor

Transperineal ultrasonography for measuring cervical length during preterm labor

Transperineal versus transvaginal sonographic measurements of cervical length in pregnant women between 16 and 24 weeks of gestation

Cervical assessment by ultrasound for preventing preterm delivery

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