OC08.07: Assessment of cervical length at mid gestation by transvaginal ultrasound as a predictor of Cesarean delivery at term in primiparous women

2009 ◽  
Vol 34 (S1) ◽  
pp. 15-15
Author(s):  
S. Negm ◽  
R. Kamel ◽  
M. Momtaz ◽  
A. Magdy
Keyword(s):  
Cesarean Delivery ◽  
Transvaginal Ultrasound ◽  
Cervical Length ◽  
Primiparous Women

scholarly journals Previous obstetric history and cervical legth in pregnancy

2006 ◽  
Vol 59 (7-8) ◽  
pp. 323-329
Author(s):  
Djordje Petrovic ◽  
Aleksandra Novakov-Mikic ◽  
Vesna Mandic ◽  
Zoran Potic
Keyword(s):  
Vaginal Delivery ◽  
Transvaginal Ultrasound ◽  
First Trimester ◽  
Cervical Length ◽  
Premature Delivery ◽  
Time Data ◽  
Previous Pregnancy ◽  
Factors Affecting ◽  
Primiparous Women ◽  
Singleton Pregnancies

Introduction. The cervical length is a predictor of premature delivery or abortion. In order to detect the risks of such complications, it is necessary to establish the factors affecting the length of the cervix. Material and methods. A transversal prospective study was carried out in a sample of 579 pregnant women with low risk, singleton pregnancies of various gestational ages. Cervical length was measured by transvaginal ultrasound as part of routine pregnancy monitoring. At the same time, data on previous first-trimester or mid-trimester abortions, as well as on premature deliveries and term deliveries, were collected and taken into consideration. Results. The cervical length in primiparous women was not statistically significantly longer than in women with a previous pregnancy, except during the second trimester, (primiparous women: 33.8 mm. women with a previous pregnancy: 35.8 mm). Bearing in mind the empirical facts that the cervix in primiparous women. since intact, is significantly longer, the above mentioned findings cannot be easily explained. The cervix in women with a previous vaginal delivery was statistically significantly longer (35.6 mm) than in women with no vaginal delivery (34.09) (p=0.0l 1). In women with previous abortions of any kind, the cervical length was 34.2 mm. The cervical length in women without previous abortions was 34. 7 mm, and there were no significant differences. Moreover, no statistically significant differences were established in women with or without previous abortions, regardless of the type. Conclusion. Taking into consideration the data from previous obstetric histories, the results of our study indicate that cervices of women. .

Transvaginal Ultrasound Cervical Length as an Indicator for Successful Induction of Labor

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Ahmed El-Sheikh ◽  
Mohammed Mahdy, ◽  
Anwar Esmail ◽  
Mohammed El Husseny Radwan
Keyword(s):  
Transvaginal Ultrasound ◽  
Cervical Length ◽  
Induction Of Labor ◽  
Successful Induction

331 Correlation between MRI and transvaginal-ultrasound cervical length measurements in pregnancies complicated by twin-twin transfusion syndrome

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

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 ◽  
...  
Keyword(s):  
Transvaginal Ultrasound ◽  
Cervical Length ◽  
Second Trimester

Variation in Cervical Length over Time during a Single Transvaginal Ultrasound Examination

2018 ◽  
Vol 36 (08) ◽  
pp. 781-784
Author(s):  
Katherine A. Connolly ◽  
Luciana Vieira ◽  
Elizabeth M. Yoselevsky ◽  
Stephanie Pan ◽  
Joanne L. Stone
Keyword(s):  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Ultrasound Examination ◽  
Transvaginal Ultrasound ◽  
Intraclass Correlation ◽  
Cervical Length ◽  
Linear Mixed Effect Model ◽  
Mixed Effect ◽  
Time Points ◽  
Significant Difference

Objective To quantify the degree of change in cervical length (CL) over a 3-minute transvaginal ultrasound. Study Design We conducted a prospective observational study of nulliparous patients who underwent routine transvaginal CL screening at the time of their second-trimester ultrasound. We recorded CL at four time points (0, 1, 2, 3 minutes) and compared these values to determine the minute-to-minute change within a single patient. Results A total of 771 patients were included. The mean gestational age was 20.8 weeks (±0.84). We used a linear mixed effect model to assess if each minute during the ultrasound is associated with a change in CL. The intraclass correlation coefficient between minute 0 to minute 3 was 0.82 (95% confidence interval: 0.80, 0.84). This indicates that there is a relatively high within-patient correlation in CL during their ultrasound. Additionally, we stratified patients based on their starting CL; the intraclass correlation coefficient remained high for all groups. We additionally compared CL at each minute. Although there is a statistically significant difference between several time points, the actual difference is small and not clinically meaningful. Conclusion The variation in CL over a 3-minute transvaginal ultrasound examination is not clinically significant. It may be reasonable to conduct this examination over a shorter period.

scholarly journals Prediction of Spontaneous Preterm Birth in At-risk Women Using Thrombospondin 1 from Cervicovaginal Fluid: A Prospective Observational Study

2021 ◽  
Vol 81 (09) ◽  
pp. 1055-1064
Author(s):  
Johannes Stubert ◽  
Kathleen Gründler ◽  
Bernd Gerber ◽  
Dagmar-Ulrike Richter ◽  
Max Dieterich
Keyword(s):  
At Risk ◽  
Preterm Birth ◽  
Predictive Value ◽  
Transvaginal Ultrasound ◽  
Area Under The Curve ◽  
Cervical Length ◽  
Multiple Gestation ◽  
Spontaneous Preterm Birth ◽  
Thrombospondin 1 ◽  
Cervicovaginal Fluid

Abstract Introduction Thrombospondin 1, desmoplakin and stratifin are putative biomarkers for the prediction of preterm birth. This study aimed to validate the predictive capability of these biomarkers in patients at risk of preterm birth. Materials and Methods We included 109 women with symptoms of threatened spontaneous preterm birth between weeks 20 0/7 and 31 6/7 of gestation. Inclusion criteria were uterine contractions, cervical length of less than 25 mm, or a personal history of spontaneous preterm birth. Multiple gestations were also included. Samples of cervicovaginal fluid were taken before performing a digital examination and transvaginal ultrasound. Levels of cervicovaginal thrombospondin 1, desmoplakin and stratifin were quantified by enzyme-linked immunosorbent assays. The primary endpoint was spontaneous preterm birth before 34 + 0 weeks of gestation. Results Sixteen women (14.7%) delivered before 34 + 0 weeks. Median levels of thrombospondin 1 were higher in samples where birth occurred before 34 weeks vs. ≥ 34 weeks of gestation (4904 vs. 469 pg/mL, p < 0.001). Receiver operator characteristics analysis resulted in an area under the curve of 0.86 (p < 0.0001). At an optimal cut-off value of 2163 pg/mL, sensitivity, specificity, positive predictive value and negative predictive value were 0.94, 0.77, 0.42 and 0.99, respectively, with an adjusted odds ratio of 32.9 (95% CI: 3.1 – 345, p = 0.004). Multiple gestation, cervical length, and preterm labor had no impact on the results. Survival analysis revealed a predictive period of more than eight weeks. Levels of desmoplakin and stratifin did not differ between groups. Conclusion Thrombospondin 1 allowed long-term risk estimation of spontaneous preterm birth.

scholarly journals Transvaginal Ultrasound Assessment of Cervical Length in Threatened Preterm Labor

2020 ◽  
pp. 81-84
Author(s):  
Prasila Ekaputri
Keyword(s):  
Preterm Labor ◽  
Primary Outcome ◽  
Uterine Contraction ◽  
Transvaginal Ultrasound ◽  
Cross Sectional Study ◽  
Cervical Length ◽  
Cross Sectional ◽  
Active Labor ◽  
Ultrasound Assessment ◽  
Threatened Preterm Labor

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

scholarly journals 270: Assessment of transvaginal ultrasound cervical length image quality through the CLEAR program

2017 ◽  
Vol 216 (1) ◽  
pp. S166
Author(s):  
Rupsa C. Boelig ◽  
Helen Feltovich ◽  
Jean Lea Spitz ◽  
Gregory Toland ◽  
Vincenzo Berghella ◽  
...  
Keyword(s):  
Image Quality ◽  
Transvaginal Ultrasound ◽  
Cervical Length
Sign in / Sign up

Export Citation Format

Share Document