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Cervical length evaluation by transvaginal sonography in nongravid women with a history of preterm delivery
Author(s) -
Pardo J.,
Yogev Y.,
BenHaroush A.,
Peled Y.,
Kaplan B.,
Hod M.
Publication year - 2003
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.116
Subject(s) - medicine , cervix , gestation , gestational age , pregnancy , obstetrics , gynecology , population , preterm delivery , etiology , environmental health , cancer , biology , genetics
Objective To evaluate cervical length in the nongravid period in women with a past history of preterm delivery. Methods The study population comprised 54 women who had delivered spontaneously before 34 weeks of gestation. Etiology of preterm delivery was suspected to be related to cervical incompetence, defined as a painless and progressive dilatation of the cervix in the absence of other causes. Patients with pre‐eclampsia, intrauterine growth restriction, uterine anomalies, fetal anomalies, multiple gestation and similar complications were excluded. Shortening of the cervix was recorded during pregnancy in all study patients. One hundred and four women matched for age, parity and body mass index who had given birth at term served as the control group. Cervical length was evaluated in all women at least 12 weeks after delivery by transvaginal sonography in the mid‐sagittal plane. Results The mean gestational age at delivery was 30.8 ± 1.2 weeks in the study group and 38.8 ± 2.1 weeks in the control group ( P = 0.03). The mean cervical length in the two groups was 36 ± 6 and 38 ± 4 mm, respectively. This difference was not statistically significant (P = 0.9). Conclusions In nongravid women with unexplained preterm delivery there is no difference in cervical length compared to patients who deliver at term. Shortening of the cervix is most probably a reversible phenomenon that occurs during pregnancy and represents a failure of the competence mechanism to adapt to pregnancy. Copyright © 2003 ISUOG. Published by John Wiley & Sons, Ltd.