| Effect of cervical length on second trimester pregnancy termination. | |
| | |
MedLine Citation:
|
PMID: 21349126 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
AIM: To evaluate the value of sonographic measurement of cervical length as a predictor of abortion or delivery within 24 h by misoprostol in second trimester termination of pregnancy (TOP). MATERIAL AND METHODS: One hundred and sixty-three women underwent TOP between 14 and 26 weeks of pregnancy due to various indications. The primary outcome was abortion within 24 h. Cervical length was measured before transvaginal administration of misoprostol. The effects of cervical length, total misoprostol dose, parity, and gestational age at diagnosis on successful TOP were evaluated. Results: One hundred and sixty-three women were eligible who met the inclusion criteria. TOP occurred in 80.5% of patients within 24 h. Parous women had shorter prolonged induction to expulsion period over 24 h (14.1% vs 28.6%, P = 0.061). Total misoprostol dose and history of abortion were parameters that affected induction to delivery period (P = 0.002 and P = 0.041). Using an optimum cutoff of 36 mm, 58.2% sensitivity and 68.2% specificity were obtained. In addition, positive and negative predictive values were 85.36% and 33.3%, respectively. Pregnant women whose preinduction cervical length was shorter than 36 mm had a shorter induction time and needed a lower total misoprostol dose to achieve TOP than women with a cervical length longer than 36 mm (P = 0.027 and P = 0.011, respectively). Conclusion: Transvaginal measurement of cervical length before administration of prostaglandin analogue was not correlated with successful TOP within 24 h. It cannot be used as a predictor in light of our findings. |
| | |
Authors:
|
Talat Umut Kutlu Dilek; Arzu Doruk; Ilay Gozukara; Huseyin Durukan; Saffet Dilek |
Related Documents
:
|
3925336 - Antibody to cardiolipin as a predictor of fetal distress or death in pregnant patients ... 10760206 - Platelet-specific antibodies in female blood donors after pregnancy. 8286126 - Example of a woman with multiple intrauterine deaths due to anti-m who delivered a live... 7923746 - Estrogen, progesterone, and testosterone: can they be used to treat autoimmune diseases? 11097796 - Does selenium reduce the risk of threatened preterm delivery associated with placental ... 17071426 - Late pre-term (32 - 36 weeks) birth in a north london hospital. |
Publication Detail:
|
Type: Evaluation Studies; Journal Article Date: 2011-02-23 |
Journal Detail:
|
Title: The journal of obstetrics and gynaecology research Volume: 37 ISSN: 1447-0756 ISO Abbreviation: J. Obstet. Gynaecol. Res. Publication Date: 2011 Jun |
Date Detail:
|
Created Date: 2011-06-03 Completed Date: 2012-01-23 Revised Date: 2013-05-20 |
Medline Journal Info:
|
Nlm Unique ID: 9612761 Medline TA: J Obstet Gynaecol Res Country: Australia |
Other Details:
|
Languages: eng Pagination: 505-10 Citation Subset: IM |
Copyright Information:
|
© 2011 The Authors. Journal of Obstetrics and Gynaecology Research © 2011 Japan Society of Obstetrics and Gynecology. |
Affiliation:
|
Department of Obstetrics and Gynecology, School of Medicine, Mersin University, Mersin, Turkey. umutdilek@gmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Abortifacient Agents, Nonsteroidal Abortion, Induced* Adult Cervical Length Measurement* Female Humans Misoprostol Pregnancy Pregnancy Trimester, Second Time Factors Young Adult |
| Chemical | |
Reg. No./Substance:
|
0/Abortifacient Agents, Nonsteroidal; 59122-46-2/Misoprostol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Efficacy of laparoscopic stripping for ovarian cysts: Histological and clinical findings.
Next Document: Primary myoepithelial carcinoma of the vulva and review of the literature.