Document Detail


Sonographic cervical volumetry in higher order multiple gestation.
MedLine Citation:
PMID:  11694737     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The aim of this study of multifetal pregnancies was the comparison of three-dimensional (3D) volumetry of the cervix, conventional sonographic cervical length measurement and clinical assessment. METHODS: 10 mothers were investigated in an observational study between 5/1999 and 9/2000. A total of 34 consecutive 2D- and 3D-transabdominal ultrasound measurements were performed. RESULTS: Volumetry of the cervix was possible in all 34 exams. 2D-cervical length assessment could not be obtained in 6% because the presenting fetal part obstructed the sonographic plane. Both methods allowed equal judgement of the configuration of the cervix. A significant correlation was found between mean 2D-cervical length (28.7 mm, 7.7 SD) and mean cervical volume (30.0 cm3, 16.0 SD). Parity, subjective preterm labor or need of tocolytics showed no correlation with any biometrical parameter studied. CONCLUSION: Volumetry was superior for the assessment of cervical biometry and conformation in women when the transabdominal 2D-plane was obstructed. When cervical length was obtainable by a conventional scan, the technically more complex 3D-imaging did not provide further information.
Authors:
A Strauss; I Heer; S Fuchshuber; U Janssen; P Hillemanns; H Hepp
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Fetal diagnosis and therapy     Volume:  16     ISSN:  1015-3837     ISO Abbreviation:  Fetal. Diagn. Ther.     Publication Date:    2001 Nov-Dec
Date Detail:
Created Date:  2001-11-05     Completed Date:  2002-01-16     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  9107463     Medline TA:  Fetal Diagn Ther     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  346-53     Citation Subset:  IM    
Copyright Information:
Copyright 2001 S. Karger AG, Basel
Affiliation:
Department of Obstetrics and Gynecology-Grosshadern, University of Munich, Munich, Germany. Alexander.Strauss@gyn.med.uni-muenchen.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Cervix Uteri / anatomy & histology,  ultrasonography*
Female
Fenoterol / therapeutic use
Fetal Membranes, Premature Rupture / ultrasonography
Humans
Magnesium Sulfate / therapeutic use
Obstetric Labor, Premature / drug therapy,  ultrasonography
Parity
Pregnancy
Pregnancy, Multiple*
Prospective Studies
Quadruplets
Tocolytic Agents / therapeutic use
Triplets
Uterine Cervical Incompetence / ultrasonography
Chemical
Reg. No./Substance:
0/Tocolytic Agents; 13392-18-2/Fenoterol; 7487-88-9/Magnesium Sulfate

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