scholarly journals P01.03: Ultrasound assessment of cervical length and volume: comparison of transabdominal and transvaginal approach

2017 ◽  
Vol 50 ◽  
pp. 154-155
Author(s):  
J. Wie ◽  
W. Kim ◽  
J. Park ◽  
H. Ko ◽  
J. Shin ◽  
...  
Author(s):  
Prasila Ekaputri

Objectives: To determine the cut off point of cervical length usingtransvaginal ultrasonography to predict the actual occurrence ofpreterm labor in women with threatened preterm labor. Methods: A cross sectional study with consecutive random samplingmethod. We examined 80 women with singleton pregnancycomplaining of regular, painful uterine contraction and rupturedmembrane at 24-36 weeks of gestation. Women in active labor, definedby the presence of cervical dilatation less than or equal 3 cm, and having complicationwere excluded. When the patient was admitted, a transvaginalscan was performed to measure the cervical length. Parenteralmagnesium sulfate was given as the subsequent management.The primary outcome was delivery within 24 hours of presentation.Results: We found that the optimal cut off values for cervical lengthwas 2.65 cm with sensitivity 94.4 Percent, specificity 65.4Percent, positive predictivevalue 75.4 Percent and negative predictive value 81.8 Percent. In 69cases, the cervical length was more than or 2.65 cm, with 52 patients successfullycontinued their pregnancy until more than 24 hours. In the 11cases with cervical length less than or equal 2.65 cm, delivery within 24 hours occurredin 9 cases (81,8 Percent). Conclusion: The findings of this study suggest that in women withthreatened preterm labor, cervical length more than or equal 2.65 cm may help predictthe actual occurrence of preterm labor. Keywords: cervical length, threatened preterm labor, transvaginalultrasonography


2003 ◽  
Vol 21 (6) ◽  
pp. 552-555 ◽  
Author(s):  
E. Tsoi ◽  
S. Akmal ◽  
S. Rane ◽  
C. Otigbah ◽  
K. H. Nicolaides

2016 ◽  
Vol 19 (3) ◽  
pp. 175-183 ◽  
Author(s):  
Eftichia Kontopoulos ◽  
Ramen H. Chmait ◽  
Ruben A. Quintero

Objective: The purpose of this article is to review the definition of twin-to-twin transfusion syndrome (TTTS) and the sonographic diagnostic assessment of these cases prior to therapy.Materials and Methods: The article addresses the terminology used to refer to the condition and describes the systematic ultrasound assessment of the condition, including the ultrasound diagnosis, the staging of the disease, cervical assessment and pre-operative mapping.Results: From an etymologic and medical point of view, the term ‘fetofetal transfusion’ is more appropriate than ‘TTTS’. However, as the latter, and its attendant acronym TTTS, have been widely adopted in the English language, it is impractical to change at this point. TTTS is defined sonographically in the combined presence of a maximum vertical pocket (MVP) of 8 cm or greater in one sac and 2 cm or less in the other sac, regardless of the gestational age at diagnosis. Staging of the condition using the Quintero staging system is practical, reproducible, and accepted. Transvaginal cervical length assessment should be an integral part of the ultrasound evaluation. Pre-operative mapping to anticipate the location of the placental vascular anastomoses and avoid injuring the dividing membrane is also discussed.Conclusions: The term ‘TTTS’ can continue to be used in the English medical literature. The condition can be diagnosed and assessed following a systematic ultrasound methodology. The use of such ultrasound methodology breaks the examination into a distinct set of components, assuring a comprehensive examination and proper communication among caregivers.


2008 ◽  
Vol 47 (3) ◽  
pp. 291-295 ◽  
Author(s):  
An-Shine Chao ◽  
Angel Chao ◽  
Peter Ching-Chang Hsieh

2015 ◽  
Vol 9 (2) ◽  
pp. 0-0
Author(s):  
Кузибаева ◽  
R. Kuzibaeva ◽  
Хадарцева ◽  
K. Khadartseva

The article presents current views on the problem of preterm birth, various mechanisms of development and approaches to early diagnosis and prevention. Ultrasound plays a leading role in the examination of pregnant women, because of its relative simplicity, invasiveness, safety for mother and fetus. Ultrasound assessment of the cervix should be considered highly informative and prognostically valuable in the diagnosis of threatened abortion. Transvaginal measurement of cervical length is carried out for the prediction of parturition in pregnant women, who are not related to the risk of a premature birth. Ultrasound assessment of the cervix, as a screening technique is used in the Tula region for early diagnosis, accurate forecasting and perinatal outcomes, due to the large number of etiological factors and the lack of a specific method of timely diagnosis. Various risk factors are taken into account in nulliparous women who are associated with idiopathic preterm birth, prenatal rupture of membranes and termination of pregnancy for medical reasons. Preterm birth is a major cause of perinatal morbidity and mortality of newborns in nulliparous, despite the improvement in perinatal outcome in recent years.


2008 ◽  
Vol 31 (3) ◽  
pp. 328-331 ◽  
Author(s):  
P. Vankayalapati ◽  
F. Sethna ◽  
N. Roberts ◽  
N. Ngeh ◽  
B. Thilaganathan ◽  
...  

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