15 May 2002
Significance of ultrasound vaginal cervicometry in predicting preterm delivery.Michal Mára, Pavel Calda, Lucie Haaková, Zdenek Zizka, Anna Dohnalová, Jaroslav Zivný
Med Sci Monit 2002; 8(5): MT72-77 :: ID: 420830
BACKGROUND: The objective of the study was to verify whether ultrasoundvaginal cervicometry, performed in the 18th-20th week of gestation, can effectively predict preterm delivery.MATERIAL/METHODS: 279 singleton pregnancies were prospectively studied from the middle of gestation untildelivery. In the 18th-20th week of gestation we performed ultrasound vaginal cervicometry, which we usedto determine the length of the cervix, judge the shape of the internal os, and evaluate the cervicometryas normal or abnormal on the basis of these parameters. With the aid of one-dimensional and multi-dimensionalanalysis, we tested the dependence of completed weeks of gestation and preterm delivery on the resultsof ultrasound cervicometry. RESULTS: 247 women completed the study. Cervicometry was evaluated as abnormalin 53 women (21.46%). We proved a significant dependence of delivery prior to the 34th week of gestationon cervical length (p<0.01), abnormal shape of the internal os (p<0.0001; RR=10.35), and abnormal cervicometric result (p<0.0001; RR=29.28). Delivery prior to the 37th week was also significantly dependent on all observed parameters. Of the individual cervicometric parameters, cervical length had the most significant impact on the completed weeks of gestation.
Conclusions: The implementation of ultrasound vaginal cervicometry in the prenatal screening program can lead to effective and early selection of women with a significantly increased risk of preterm delivery.
Keywords: Cervical Ripening, Cervix Uteri, Gestational Age, Labor, Premature, Pregnancy, Pregnancy Complications, Pregnancy Outcome, Pregnancy, High-Risk, Risk Factors, Ultrasonography, Prenatal
01 June 2023 : EditorialEditorial: Infectious Disease Surveillance Using Artificial Intelligence (AI) and its Role in Epidemic and Pandemic Preparedness
Med Sci Monit 2023; 29:e941209
08 Jun 2023 : Clinical ResearchRisk Factors for New Vertebral Compression Fracture After Percutaneous Vertebral Augmentation: A Retrospect...
Med Sci Monit In Press; DOI: 10.12659/MSM.940134
08 Jun 2023 : Clinical ResearchA Nomogram for Identifying HR+/Her2- Breast Cancer Patients with Positive Sentinel Lymph Nodes and Omitted ...
Med Sci Monit In Press; DOI: 10.12659/MSM.940124
08 Jun 2023 : Clinical ResearchBurden of COVID-19 on Mental Health of Resident Doctors in Poland
Med Sci Monit In Press; DOI: 10.12659/MSM.940208
08 Jun 2023 : Clinical ResearchRisk Prediction for Rapidly Progressive Interstitial Lung Disease in Anti-MDA5-Positive Dermatomyositis: Th...
Med Sci Monit In Press; DOI: 10.12659/MSM.940251
Most Viewed Current Articles
13 Nov 2021 : Clinical ResearchAcceptance of COVID-19 Vaccination and Its Associated Factors Among Cancer Patients Attending the Oncology ...
Med Sci Monit 2021; 27:e932788
30 Dec 2021 : Clinical ResearchRetrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...
Med Sci Monit 2021; 27:e935379
08 Mar 2022 : Review articleA Review of the Potential Roles of Antioxidant and Anti-Inflammatory Pharmacological Approaches for the Man...
Med Sci Monit 2022; 28:e936292
01 Jan 2022 : EditorialEditorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...
Med Sci Monit 2022; 28:e935952