Clinical examination and transvaginal sonograpy in mid trimester as potential screening test for preterm labor. Preliminary results on low risk population. (CROSBI ID 508327)
Prilog sa skupa u zborniku | sažetak izlaganja sa skupa
Podaci o odgovornosti
Matijevic, Ratko ; Grgić, Ozren
engleski
Clinical examination and transvaginal sonograpy in mid trimester as potential screening test for preterm labor. Preliminary results on low risk population.
Objective: The purpose of this study was to compare the diagnostic performance of transvaginal cervical sonography (TVCS) and digital examination (DE) of the cervix at mid trimester in the prediction of preterm delivery in low risk population. Study design: In this pilot prospective randomized study 121 unselected, asymptomatic, women with singleton pregnancies randomly underwent TVCS cervical length measurement (n=58) or DE (n=63) at 16-24 weeks' gestation. Primary outcome variable was the occurrence of preterm delivery (< 37 weeks) and secondary outcomes included perinatal morbidity, perinatal mortality, IUGR, type of delivery and tocolysis therapy (iv. and per oral). Results: The overall prevalence of preterm delivery was 5.93% (7/121). Abnormal finding in TVCS group was found in 2/58 (endocervical length < 20 mm, “ V” /” U” form) whereas in DE group in 9/61 (cervical dilatation and effacement > 50%). Tocolysis therapy was frequently in the DE group (12/61 versus 6/58), because the major indication for tocolysis in the DE group was abnormal finding without uterine contractions (tocolysis after abnormal finding 6/12 versus 1/6). There were no other statistical differences in outcomes between two groups. Conclusion: TVCS in the low risk population provides an objective method for evaluating the risk of preterm delivery.
Transvaginal sonography; cervical length; cervical mucus area; cervical gland area; mid trimester; preterm delivery
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Podaci o prilogu
2004.
objavljeno
Podaci o matičnoj publikaciji
Proceedings of the 19. European congress of perinatal medicine
Antsaklis, Aris
Bolonja: Monduzzi Editore
Podaci o skupu
European congress of perinatal medicine
poster
14.08.2004-16.08.2004
Atena, Grčka