scholarly journals P19.07: Cervical length changes and the risk of preterm delivery in triplet pregnancies

2010 ◽  
Vol 36 (S1) ◽  
pp. 244-244
Author(s):  
A. M. Youssef ◽  
M. Kuleva ◽  
M. Nanni ◽  
E. Maroni ◽  
F. Guasina ◽  
...  
Author(s):  
Mehbooba Beigh ◽  
Mohammed Farooq Mir ◽  
Rifat Amin ◽  
Simrath Shafi

Background: Preterm delivery (PTD) is a major cause of perinatal morbidity and mortality. Objective of present study was to identify the women at risk of preterm delivery with the help of trans-vaginal ultrasound by assessing cervical length changes, funneling of lower uterine segment, cervical dilatation.Methods: A prospective study was carried out over a period of 2 years on 50 patients with 24-36 weeks of gestation who clinically presented with signs of threatened preterm labor and were subjected to transvaginal sonographic measurement of cervical length.Results: Prediction of spontaneous preterm birth at <37 weeks of gestation with cervical length to be 2.75 cm has sensitivity of 95%, specificity of 96.5%, positive predictive value of 86.36% and negative predictive value of 98.7%.Conclusions: Transvaginal ultrasonography is the reliable, reproducible and objective method to assess cervix and to predict the risk of preterm delivery.


2010 ◽  
Vol 36 (S1) ◽  
pp. 108-108
Author(s):  
T. Ghi ◽  
M. Kuleva ◽  
E. Maroni ◽  
A. M. Youssef ◽  
F. Guasina ◽  
...  

2007 ◽  
Vol 64 (4) ◽  
pp. 175-179 ◽  
Author(s):  
Talat Umut Kutlu Dilek ◽  
Gurkan Yazici ◽  
Ayfer Gurbuz ◽  
Bahar Tasdelen ◽  
Sitki Gulhan ◽  
...  

2008 ◽  
Vol 11 (5) ◽  
pp. 552-557 ◽  
Author(s):  
Katharina Klein ◽  
Hubertus Gregor ◽  
Kora Hirtenlehner-Ferber ◽  
Maria Stammler-Safar ◽  
Armin Witt ◽  
...  

AbstractThe objective of our study was to evaluate the correlation of the cervical length at 20–25 weeks of gestation with the incidence of spontaneous preterm delivery in twins in a country with a high incidence of preterm delivery compared to other European countries. Cervical length was measured in 262 consecutive patients. Previous preterm delivery before 34 weeks of gestation, chorionicity, maternal age, body-mass-index, smoking habit and parity were recorded as risk factors for preterm delivery. Women who were symptomatic at 20–25 weeks and who delivered because of other reasons than spontaneous labour and preterm rupture of membranes or at term were excluded. The primary outcome was incidence of preterm birth before 34 weeks. Two hundred and twenty-three patients were analyzed. Thirty-two (14%) delivered before 34 weeks. There was a significant correlation between cervical length of less than 25 mm and spontaneous delivery before 34 weeks (50% vs. 13%,p= .007). In addition, logistic regression analysis found cervical length to be the only significant predictor of spontaneous delivery before 34 weeks (OR 1.084; 95% CI 1.015; 1.159;p= .017). We conclude that the risk of severe preterm delivery in twins is high. Cervical length at mid-gestation was the only predictor of delivery before 34 weeks.


2011 ◽  
Vol 29 (3) ◽  
pp. 216-223 ◽  
Author(s):  
Camilla B. Wulff ◽  
Charlotte K. Ekelund ◽  
Morten Hedegaard ◽  
Ann Tabor

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