Document Detail


Transperineal versus transvaginal ultrasonographic evaluation of the cervix at each trimester in normal pregnant women.
MedLine Citation:
PMID:  15904442     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To compare transvaginal and transperineal ultrasonography in the assessment of cervical length and cervical changes in normal gravid patients at each trimester. METHODS: Transperineal and transvaginal ultrasonographic cervical length was measured on 104 asymptomatic pregnant women between 10 and 14, 20-24, and 30-34 weeks' gestation and the presence of a funnel was also noted. The study used the McNemar chi2 test to assess the difference between two methods in their ability to obtain a measurement, and the Pearson correlation coefficient to determine the relationship between the paired transperineal and transvaginal cervical lengths. RESULTS: Cervical length measurements were obtained by transvaginal ultrasonography in all 104 patients and by transperineal ultrasonography in 101 patients (97.1%) (P = 0.1). By gestational age, the greatest length discrepancy (2.8 mm) between the two ultrasonographic methods was found at 10-14 weeks (P < 0.001). At 20-24 and 30-34 weeks' gestation, the mean length differences were less than 1 mm (P < 0.01 and P = 0.337, respectively). Cervical funnelling was observed in 16 patients by both methods, whereas in two patients from the 20-24 week gestational age group, funelling was observed by transvaginal ultrasonography and not by transperineal ultrasonography. CONCLUSIONS: Cervical length measurements by transperineal ultrasonography show good correlation with transvaginal ultrasonographic measurements and it is a satisfactory alternative to a transvaginal evaluation of the cervix throughout pregnancy.
Authors:
Ismail Ozdemir; Fuat Demirci; Oguz Yucel
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  45     ISSN:  0004-8666     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-05-20     Completed Date:  2006-12-20     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  191-4     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Abant Izzet Baysal University, Duzce Medical School, Duzce, Turkey. drismailozdemir@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Cervix Uteri / ultrasonography*
Chi-Square Distribution
Female
Gestational Age
Humans
Perineum
Pregnancy
Pregnancy Trimesters
Ultrasonography, Prenatal / methods*
Vagina

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


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