Document Detail

Cervical length measurement by translabial sonography in women with preterm premature rupture of membranes: can it be used to predict the latency period or peripartum maternal infection?
MedLine Citation:
PMID:  18240078     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To determine the relationship between the translabial cervical length and the latency period or peripartum maternal infection in women with preterm premature rupture of membranes (PPROM). METHODS: Fifty-five women with a singleton gestation and PPROM between 24 and 34 weeks who had a translabial ultrasound performed within 24 hours of membrane rupture were included in the study. Translabial sonography was performed to assess cervical length and funneling. Ultrasound results were not made available to the managing obstetricians. RESULTS: The mean gestational age at PPROM in our cohort was 29.7 +/- 2.8 weeks. The mean translabial cervical length was 2.8 +/- 1.1 cm, and the median latency period was 10 days (interquartile range 4-15 days). There was no statistically significant correlation between cervical length and latency period (r = 0.15, p = 0.28). Additionally, latency periods less than seven days were not associated with cervical length cutoffs of 2.5 cm or 1.5 cm, or the presence of cervical funneling. Similarly, none of these criteria were associated with the development of either chorioamnionitis or postpartum endometritis. CONCLUSIONS: Cervical length by translabial sonography was not associated with duration of the latency period or peripartum maternal infection in women with PPROM.
Richard L Fischer; Julian D Austin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  21     ISSN:  1476-7058     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-02-01     Completed Date:  2008-04-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  105-9     Citation Subset:  IM    
Department of Obstetrics and Gynecology, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden, Cooper University Hospital, Camden, New Jersey 08103, USA.
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MeSH Terms
Cervix Uteri / ultrasonography*
Chorioamnionitis / diagnosis
Endometritis / diagnosis
Fetal Membranes, Premature Rupture / ultrasonography*
Gestational Age*
Infection / diagnosis*
Puerperal Disorders
ROC Curve

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