| Role of transvaginal sonographic cervical length in predicting spontaneous preterm delivery in triplet pregnancies with therapeutic cerclage. | |
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MedLine Citation:
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PMID: 14619645 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To assess the role of transvaginal sonographic cervical length in predicting spontaneous preterm delivery at < 32 weeks in patients with both triplet pregnancy and therapeutic cerclage. STUDY DESIGN: The maternal records of all triplet pregnancies with therapeutic cerclage and sonographic cervical length before and after cerclage were reviewed (n = 17). Each of these triplet gestations was matched with 2 triplet pregnancies without cerclage based on cervical length after cerclage (+/- 0.5 cm) and gestational age (+/- 3 weeks). Statistical analysis included Fisher's exact test or chi 2 analysis, one-way analysis of variance, logistic regression analysis and receiver operating characteristic curve analysis. RESULTS: Cerclage was placed at a gestational age of 19.0 +/- 3.1 weeks (mean +/- SD) and increased cervical length from 2.0 +/- 0.7 cm to 3.1 +/- 1.4 cm (P < .05). The rate of spontaneous preterm delivery at < 32 weeks was higher among cases than controls (7/17 vs. 4/27, P = .08). Logistic regression analysis demonstrated that only postcerclage cervical length was predictive of spontaneous preterm delivery at < 32 weeks, with a cervical length of 3.3 cm the optimal predictor. CONCLUSION: In women with triplets and therapeutic cerclage, the only significant predictor of spontaneous preterm delivery at < 32 weeks is cervical length after cerclage placement. |
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Authors:
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Sarah H Poggi; Alessandro Ghidini; Helain J Landy; Rodney McLaren; Yinka Oyelese; Manuel Alvarez; John C Pezzullo; Joseph V Collea |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 48 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 2003 Oct |
Date Detail:
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Created Date: 2003-11-17 Completed Date: 2004-03-05 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: United States |
Other Details:
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Languages: eng Pagination: 785-8 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Georgetown University Hospital, 3800 Reservoir Road, NW-3PHC, Washington, DC 20007, USA. shp2@gunet.georgetown.edu |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Case-Control Studies Cerclage, Cervical Cervix Uteri / ultrasonography* District of Columbia / epidemiology Female Humans Medical Records New Jersey / epidemiology Obstetric Labor, Premature / epidemiology*, etiology, prevention & control, ultrasonography* Predictive Value of Tests Pregnancy Retrospective Studies Triplets* Ultrasonography, Prenatal* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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