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Evaluation of the effects of cervical properties
Author(s) -
Kepkep K.,
Gurpinar H.,
Kar E.
Publication year - 2001
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 - 10.1046/j.1469-0705.2001.abs28-18.x
Subject(s) - medicine , preterm delivery , obstetrics , cervix , pregnancy , transvaginal ultrasonography , perinatal mortality , singleton , gynecology , ultrasonography , gestation , fetus , surgery , genetics , cancer , biology
Preterm delivery has been faced in all delivery with a 7–11% and it keeps its importance by causing perinatal mortality and morbidity. Therefore it is important to define preterm delivery risk during the earlier period of the delivery. Objective: The aim of our work is evaluating the influence of the cervical length and funneling which are measured by transvaginal ultrasonography (TVUSG) in the asymptotic singleton pregnant women, to predefine preterm delivery. Material and methods: The cervical length at 16th, 20th, 24th, 28th, 32nd and 36th week of the pregnancy has been measured by TVUSG within a sample of 60 pregnant women who do not have any risk about the preterm delivery or who have already had a preterm delivery or an abortus case before. Also, the funneling has been observed within the same sample. The relation of a cervical length less than or equal 30 mm and the existence of the funneling with a preterm delivery risk before the 37th week of the delivery has been evaluated statistically. Results: We have observed the preterm delivery in the seven of the 60 pregnant women which were controlled until the delivery (11.7%). In this group, the relation between the preterm delivery and a cervix which is less than or equal 30 mm has been found to be statistically reasonable with the cervical length value at the 28th and 32nd week ( P = 0.0001; P = 0.00001). A cervical funneling has been found in one patient and it has been not defined as meaningful with regard to the preterm delivery risk ( P > 0.05). Conclusions: In order to define the risk of the preterm delivery, it is more meaningful if the cervical length is less than 30 mm and measured at the 28th and 32nd week of the delivery. On the other hand, funneling could not been determined during the earlier period of the delivery; therefore it is not used as a criteria to predefine the preterm delivery.