scholarly journals P32.06: Role of cervical length at 22-26 weeks as a predictor of Caesarean delivery in primiparous women at term: transvaginal ultrasound assessment

2010 ◽  
Vol 36 (S1) ◽  
pp. 291-291
Author(s):  
G. Ancuta ◽  
D. Urzica
Keyword(s):  
Caesarean Delivery ◽  
Transvaginal Ultrasound ◽  
Cervical Length ◽  
Ultrasound Assessment ◽  
Primiparous Women

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 Role of Assessing Cervical Length by Transvaginal Ultrasound before Induction of Labour

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Sherine Marian ◽  
◽  
Chidananda Murthy M ◽  
Rohit Kumar Sharma ◽  
Prajwith Rai ◽  
...  
Keyword(s):  
Transvaginal Ultrasound ◽  
Cervical Length ◽  
Induction Of Labour

scholarly journals Role of transvaginal ultrasound in predicting preterm labor in singleton pregnancies

2018 ◽  
Vol 7 (2) ◽  
pp. 561
Author(s):  
Mehbooba Beigh ◽  
Mohammed Farooq Mir ◽  
Rifat Amin ◽  
Simrath Shafi
Keyword(s):  
Preterm Delivery ◽  
Predictive Value ◽  
Preterm Labor ◽  
Transvaginal Ultrasound ◽  
Cervical Length ◽  
Spontaneous Preterm Birth ◽  
Threatened Preterm Labor ◽  
Length Changes ◽  
A Prospective Study

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.

scholarly journals Prediction of labor induction outcome using different clinical parameters

2013 ◽  
Vol 141 (11-12) ◽  
pp. 770-774 ◽  
Author(s):  
Zaklina Tatic-Stupar ◽  
Aleksandra Novakov-Mikic ◽  
Mirjana Bogavac ◽  
Stevan Milatovic ◽  
Slobodan Sekulic
Keyword(s):  
Transvaginal Ultrasound ◽  
Cervical Length ◽  
Labor Induction ◽  
Induction Of Labor ◽  
Obstetrics And Gynecology ◽  
Clinical Parameters ◽  
Bishop Score ◽  
Test Results ◽  
Clinical Centre

Introduction. Induction of labor is one of the most common obstetric interventions in contemporary obstetrics. Objective. The aim of the study was to evaluate the clinical and sonographic parameters in prediction of success of labor induction. Methods. The prospective study included 422 women in whom induction of labor was carried out at the Department of Obstetrics and Gynecology of Clinical Centre of Vojvodina. The role of body mass index and age of women, parity Bishop score, cervical length measured by transvaginal ultrasound was evaluated in regard of the success of induction, which was considered successful if a vaginal delivery occurred within 24 hours after the onset of induction. Data were statistically analyzed by univariate statistical analysis and Pearson?s ?2 test. Results. Out of 422 women, induction of labor was successful in 356 (84.4%), and it failed in 66 (15.6%) cases. The values of Bishop score and cervical length had positive correlation with the success of induction. Conclusion. Bishop score and transvaginal cervical length were both reliable predictors in determining the success of labor induction, as well as parity and BMI. These parameters are mostly complementary, not competitive in prediction of labor induction success.

scholarly journals Role of cervical length evaluation with transvaginal ultrasound for prediction of preterm delivery in low risk pregnancy

2018 ◽  
Vol 7 (7) ◽  
pp. 2852
Author(s):  
Sirupa Venkata Geetika Reddy ◽  
S. R. Mudanur
Keyword(s):  
Preterm Birth ◽  
Predictive Value ◽  
Predictive Accuracy ◽  
Transvaginal Ultrasound ◽  
Birth Asphyxia ◽  
Cervical Length ◽  
Low Risk ◽  
Risk Pregnancy ◽  
Endocervical Canal

Background: Preterm birth possess a major health burden to the society due to its long - term morbidity, perinatal mortality and high financial expenditures associated with it. Transvaginal ultrasonographic measurement is an effective and objective way of measuring the cervical length. Cervical length <25 mm is considered as the best cervical parameter with a good predictive accuracy for preterm birth. This study was taken up to study the role of cervical length measurement in predicting preterm labor by Trans vaginal sonography (TVS) and to measure cervical length and follow up cases to study the fetal outcome.Methods: Sagital long-axis view of endocervical canal along the entire length was obtained with high frequency endovaginal probe and the length of cervix from external to the internal os was measured. Atleast three measurements were obtained and the best shortest measurement in millimeters was recorded. Transfundal pressure was applied for 15 seconds and cervical length was obtained again. The cases are followed till delivery and outcome is noted.Results: Out of 134 study group of low risk women, 5.9% women and 50% of the women with short cervical length (<25 mm) had preterm birth. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of our study are 75%, 95.2%, 50%, 98.4%, 94% respectively. Among the 134 newborns, majority of the admissions (14) were due to birth asphyxia followed by meconium aspiration syndrome.Conclusions: TVS is a useful technique in assessing the cervical changes during pregnancy and predicting the preterm birth especially when performed between 16-24 weeks of gestational age could identify all the women having short cervical length along with other changes of cervix.

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. .

scholarly journals Role of Cervical Length as Predictor of Preterm Labor and a Comparison of Transabdominal versus Transvaginal Ultrasound in Determining the Accuracy of Cervical Length

2010 ◽  
Vol 2 (2) ◽  
pp. 129-131
Author(s):  
MS Nanavati ◽  
SV Desai ◽  
PD Lakhani ◽  
AS Bansode
Keyword(s):  
Preterm Delivery ◽  
Preterm Labor ◽  
Transvaginal Ultrasound ◽  
Prospective Trial ◽  
Cervical Length ◽  
Short Cervix ◽  
Term Delivery ◽  
The Mean ◽  
The Difference

ABSTRACT Objectives 1. To evaluate the mean cervical length at 22 to 28 weeks of gestation by TAS and TVS and correlate its association with preterm labor. 2. To compare the difference in cervical length measured by the above two methods. Methods This was a prospective trial involving 100 pregnant women spanning a period of ten months. Results Eighteen women out of the 100 studied had preterm labor; of which 17 had a cervical length of less than 3 mm at 22 to 28 weeks. The percentage of women with preterm delivery with a short cervix was 83% by transabdominal scan (TAS) and 94% with transvaginal scan (TVS). Conclusion The mean cervical length was lesser amongst women who had a preterm delivery as compared to those with a term delivery. The mean cervical length by TAS was more than that by TVS thereby suggesting that TVS has a higher sensitivity for detection of preterm labor than TAS.

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