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Cervical gland area as an ultrasonographic marker for preterm delivery
Author(s) -
Pires C.R.,
Moron A.F.,
Mattar R.,
Diniz A.L.D.,
Andrade S.G.A.,
Bussamra L.C.S.
Publication year - 2006
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2005.12.010
Subject(s) - medicine , gestation , logistic regression , cervix , prospective cohort study , gynecology , obstetrics , preterm delivery , population , cohort study , cohort , gestational age , pregnancy , cancer , genetics , environmental health , biology
Objective : To assess the association between spontaneous preterm delivery (SPTD) in the general population and the measurement of the cervix length, cervical funneling, and absence of the cervical gland area (CGA). Method : A prospective cohort of 338 women carrying uncomplicated pregnancies was evaluated by transvaginal sonography between 21 and 24 weeks’ gestation. Results : Measurement of cervical length with less than 20 mm and the presence of cervical funneling presented a statistically significant association with SPTD before 35 weeks. The non‐detection of CGA demonstrated a strong association with SPTD before 37 weeks’ ( p < 0.001; OR = 194.5) and before 35 weeks’ gestation ( p < 0.001; OR = 129.6). The multiple logistic regression analysis suggested the non‐detection of CGA as the only variable to reveal statistically significance association with SPTD. Conclusion : The results seem to indicate that the absence of CGA can be a new and important ultrasound marker for SPTD, to be confirmed by future multicenter investigations.