Document Detail

Longitudinal changes in canal length at 16-35 weeks in normal twin pregnancies and twin pregnancies with preterm labor and delivery.
MedLine Citation:
PMID:  20666937     Owner:  NLM     Status:  MEDLINE    
AIM: To describe the longitudinal changes in canal length at 16-35 weeks' gestation in cases of twin pregnancy with preterm labor and delivery.
METHODS: We studied 22 cases of twin pregnancy that were delivered at < 36 weeks and/or that underwent preterm labor requiring tocolysis. We also studied 44 cases of twin pregnancy delivered at > or = 36 weeks without tocolysis (non-tocolysis twin pregnancy). Controls were 82 cases of normal singleton pregnancy. Canal length was longitudinally measured using transvaginal ultrasonography. The observational period of 16-35 weeks was divided into 4-week periods for analysis.
RESULTS: From 28 to 31 weeks onwards the canal length of non-tocolysis twin pregnancies was shorter than that of normal singleton pregnancies (P < 0.05). The canal length of twin pregnancies with preterm labor and delivery was shorter than that of non-tocolysis twin pregnancies at 16-19 weeks and decreased rapidly until 24-27 weeks (P < 0.01).
CONCLUSIONS: A short canal length at 16-19 weeks followed by rapid canal length shortening in the second trimester are specific characteristics in preterm labor and delivery of twin pregnancies. Sequential measurements of canal length in the second trimester starting at < 20 weeks may be a suitable parameter to predict preterm labor and delivery in twin pregnancies.
Toshiyuki Yoshizato; Yoshihito Inoue; Tatsuya Fukami; Ayako Sanui; Shingo Miyamato; Tatsuhiko Kawarabayashi
Related Documents :
945877 - The prenatal diagnosis of intrauterine growth retardation in one fetus of a twin gestat...
17975857 - Hypertrophic cardiomyopathy-like changes in monochorionic twin pregnancies with selecti...
18569807 - Body stature and myopia-the genes in myopia (gem) twin study.
7484047 - The use of intravenous nitroglycerin for emergency cervico-uterine relaxation.
11580737 - Maternal smoking and gestational age in twin pregnancies.
8267867 - Consequences of misdiagnosis of intrauterine growth retardation for preterm elective ce...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  36     ISSN:  1447-0756     ISO Abbreviation:  J. Obstet. Gynaecol. Res.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-29     Completed Date:  2010-11-04     Revised Date:  2012-01-19    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  733-8     Citation Subset:  IM    
Center for Maternal, Fetal and Neonatal Medicine, Fukuoka University Hospital, Fukuoka, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Cervix Uteri / ultrasonography*
Chi-Square Distribution
Gestational Age
Obstetric Labor, Premature / ultrasonography*
Pregnancy, Multiple
Ultrasonography, Prenatal / methods
Vagina / ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Vascular endothelial growth factor, fms-like tyrosine kinase-1 (Flt-1) and soluble Flt-1 gene expres...
Next Document:  First trimester examination of fetal nasal bone in the Turkish population.