scholarly journals P16.13: True Reproducibility of UltraSound Techniques (TRUST): second trimester cervical length using transabdominal and transvaginal ultrasound

2014 ◽  
Vol 44 (S1) ◽  
pp. 282-282
Author(s):  
A. Ferreira ◽  
F. Mauad Filho ◽  
P. Abreu ◽  
F. Mauad ◽  
A.H. Miyague ◽  
...  
2016 ◽  
Vol 59 (4) ◽  
pp. 303 ◽  
Author(s):  
Alberto Borges Peixoto ◽  
Taciana Mara Rodrigues da Cunha Caldas ◽  
Ana Helena Bittencourt Alamy ◽  
Wellington P. Martins ◽  
Rafael Frederico Bruns ◽  
...  

2021 ◽  
Author(s):  
Sivan Farladansky-Gershnabel ◽  
Hadar Gluska ◽  
Maya Sharon-Weiner ◽  
Gil Shechter-Maor ◽  
Hanoch Schreiber ◽  
...  

Abstract Objective Finding a predictive model for persistent low lying placenta (LLP) based on early clinical and laboratory parameters. Methods This retrospective cohort study included patients with LLP detected during early anatomy scan. Additional transvaginal ultrasound exams assessed for resolution at 22–24 weeks and 36–39 weeks. Patients were categorized as: Group 1–LLP resolved by the second trimester scan, Group 2- LLP resolved by the third, and Group 3–LLP persisted to delivery. Clinical and laboratory parameters were compared between groups. A linear support vector machine classification was used to define a prediction model for persistence. Results Among 236 pregnancies with LLP, 80% resolved by 22–24 weeks, 10.5% resolved by 36–39 weeks and 9.5% persisted until delivery. Second trimester hCG levels were higher the longer the LLP persisted (0.8MoM + 0.7 vs. 1.13MoM + 0.4 vs. 1.7MoM + 1.5, P = 0.03, respectively) and Cervical length was shorter (P = 0.008, P = 0.02, respectively). A linear SVM classification model was calculated based on these parameters. The predictive accuracy of this model was 90.3%. Conclusion LLP persistence can be predicted with an accuracy of 90.3%, as early as the beginning of the second trimester. Persistence vs. resolution of LLP may represent different entities and not a spectrum of the same condition over time.


Author(s):  
Joana Patricia Rodrigues Félix Peixoto de Almeida ◽  
Carla Maria Magno Bartosch ◽  
Alexandra Matias Pereira Cunha Coelho Macedo

AbstractPreterm birth (PTB) is a major obstetric problem associated with high rates of neonatal morbidity and mortality. The prevalence of PTB has not changed in the last decade; thus, the establishment of a screening test and effective treatment are warranted. Transvaginal ultrasound measurement of the cervical length (TUCL) has been proposed as an effective method to screen pregnant women at a higher risk of experiencing PTB. Objective To evaluate the applicability and usefulness of second-trimester TUCL to predict PTB in a cohort of Portuguese pregnant women. Methods Retrospective cross-sectional cohort study including all singleton pregnant women who performed their second-trimester ultrasound (between weeks 18 and 22 + 6 days) from January 2013 to October 2017 at Centro Hospitalar Universitário São João. Results Our cohort included 4,481 women. The prevalence of spontaneous PTB was of 4.0%, with 0.7% occurring before the 34th week of gestation. The mean TUCL was of 33.8 mm, and percentiles 3, 5 and 10 corresponded to TUCLs of 25.0 mm, 27.0 mm and 29.0 mm respectively. The multiple logistic regression analysis, including maternal age, previous PTB and cervical surgery showed a significant negative association between TUCL and PTB, with an odds ratio (OR) of 0.92 (95% confidence interval [95%CI]: 0.90–0.95; p < 0.001). The use of a TUCL of 20 mm is the best cut-off, when compared with the 25-mm cut-off, improving the prediction of risk. Conclusion The present study showed an inverse association between TUCL and PTB, and that the inclusion of other risk factors like maternal age, previous PTB and cervical surgery can improve the screening algorithm. Furthermore, it emphasizes that the TUCL cut-off that defines short cervix can differ according to the population.


2020 ◽  
Vol 99 (11) ◽  
pp. 1476-1485 ◽  
Author(s):  
Pihla Kuusela ◽  
Ulla‐Britt Wennerholm ◽  
Helena Fadl ◽  
Jan Wesström ◽  
Peter Lindgren ◽  
...  

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Ahmed El-Sheikh ◽  
Mohammed Mahdy, ◽  
Anwar Esmail ◽  
Mohammed El Husseny Radwan

2021 ◽  
Vol 224 (2) ◽  
pp. S217-S218
Author(s):  
Robert Fresch ◽  
Mounira Habli ◽  
Braxton Forde ◽  
Sammy Tabbah ◽  
David McKinney ◽  
...  

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