Cervical length measurement by transvaginal sonography in preterm pregnant women for prediction of preterm birth.
Sujira Kwasan, Rita Paisarntuntiwong, Paiboon Charoenchainont
Abstract
Sujira Kwasan, Rita Paisarntuntiwong, Paiboon Charoenchainont
Abstract
OBJECTIVE: To determine the optimal value of cervical length and the presence of funneling in women with preterm labor to predict preterm delivery. MATERIAL AND METHOD: Transvaginal sonography to determine cervical length and presence of funneling in 69 pregnant women with gestational age between 24 - 36 weeks who had preterm labor and were admitted to the labor room of BMA Medical College and Vajira Hospital. RESULTS: The cervical length of women with preterm labor ranged between 10.7-61.2 mm (mean +/- SD = 30.1 + 9.9 mm). The prevalence of preterm delivery was 43.4%. The cervical length of 30 mm had the highest diagnostic performances in predicting preterm delivery, with the sensitivity 93.3%, specificity 82.0%. About 90% of women with funneling presence had preterm delivery. CONCLUSION: The cervical length and presence of funneling in preterm labor women are significantly associated with preterm delivery.
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OBJECTIVE: To determine the optimal value of cervical length and the presence of funneling in women with preterm labor to predict preterm delivery. MATERIAL AND METHOD: Transvaginal sonography to determine cervical length and presence of funneling in 69 pregnant women with gestational age between 24 - 36 weeks who had preterm labor and were admitted to the labor room of BMA Medical College and Vajira Hospital. RESULTS: The cervical length of women with preterm labor ranged between 10.7-61.2 mm (mean +/- SD = 30.1 + 9.9 mm). The prevalence of preterm delivery was 43.4%. The cervical length of 30 mm had the highest diagnostic performances in predicting preterm delivery, with the sensitivity 93.3%, specificity 82.0%. About 90% of women with funneling presence had preterm delivery. CONCLUSION: The cervical length and presence of funneling in preterm labor women are significantly associated with preterm delivery.
Key concepts: Medicine, Preterm labor, Preterm delivery, Obstetrics, Gestational age, Preterm labour, Gestation, Transvaginal ultrasound