Document Detail


Role of mid-trimester transvaginal cervical ultrasound in prediction of preterm delivery.
MedLine Citation:
PMID:  17240581     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ultrasonographic cervical length assessment is increasingly being utilized clinically to identify women at risk for spontaneous preterm delivery. In a randomised prospective longitudinal study involving 200 women, we measured cervical length and internal os diameter by transvaginal scan at 20 - 24 weeks and analysed their ability to predict preterm birth. The risk of spontaneous preterm delivery increased steeply as cervical length decreased. At cut off value of < or = 2.5cm, the cervical length measurements had sensitivity, specificity, positive predictive value and negative predictive value of 77%, 95%, 56% and 98% respectively. However, internal os diameter lacked sensitivity and specificity. Our data suggests that the duration of pregnancy is directly related to length of the cervix: the shorter the cervix, the greater the chance of preterm delivery.
Authors:
S Hebbar; K Samjhana
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Medical journal of Malaysia     Volume:  61     ISSN:  0300-5283     ISO Abbreviation:  Med. J. Malaysia     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2007-01-23     Completed Date:  2007-03-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0361547     Medline TA:  Med J Malaysia     Country:  Malaysia    
Other Details:
Languages:  eng     Pagination:  307-11     Citation Subset:  IM    
Affiliation:
Department of O and G, Melaka Manipal Medical College, Melaka, Postgraduate, Department of O.B.G., Kasturba Medical College, Manipal, Malaysia.
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MeSH Terms
Descriptor/Qualifier:
Cervix Uteri / ultrasonography*
Female
Humans
Obstetric Labor, Premature / diagnosis*
Pregnancy
Pregnancy Trimester, Third
Prospective Studies
Sensitivity and Specificity

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


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