Our objective was to establish sonographic criteria that are predictive of preterm delivery in patients with internal os dilatation (funneling). The study population consisted of patients with cervical funneling identified on translabial or transvaginal ultrasound examination. Funnel length, functional length, percentage funneling and funnel width were evaluated for their predictive values for preterm delivery. In the 43 patients who met the study criteria, funneling was detected at a mean gestational age of 21.4 weeks (range 16-28). Twenty-three of 31 patients (74%), manually examined immediately following the ultrasound examination, had a closed cervix. Preterm delivery occurred in 42% of patients. Funnel length of > or = 16 mm, functional length of < or = 20 mm, funneling of > or = 40% and funnel width of > or = 14 mm correlated significantly with preterm delivery. Patients with funneling of < 25%, 25-50% and > 50% had preterm delivery rates of 17%, 29% and 79%, respectively.
<p><strong>Objetivo:</strong> descrever a experiência de gestantes com a realização do exame preventivo de colo de útero na gestação. <strong>Método:</strong> pesquisa descritiva e exploratória, de abordagem qualitativa, realizada com 20 gestantes vinculadas ao pré-natal de uma unidade de Estratégia de Saúde da Família da cidade de Maceió, Alagoas, Brasil. Informações produzidas entre abril e agosto de 2018, por meio do Formulário de Identificação Socioeconômica e entrevista semiestruturada. Os dados foram analisados pela técnica de análise de conteúdo de Bardin.<strong> Resultados:</strong> as experiências vivenciadas acerca da realização do exame durante a gestação eram, muitas vezes, permeadas por sentimentos como vergonha, medo e dor, causando impacto negativo na aceitação de muitas gestantes, mesmo fazendo parte dos exames de rotina do pré-natal. <strong>Conclusão:</strong> as gestantes consideraram o exame preventivo de colo de útero na gestação um procedimento importante na manutenção da saúde, embora não tivessem claro conhecimento acerca da sua verdadeira finalidade.</p><p><strong>Descritores:</strong> Enfermagem. Gravidez. Teste de Papanicolaou. Autocuidado.</p>
Objective: to identify which risk factors / clinical conditions are frequently associated with premature labor in a reference maternity for high risk. Method: this is a quantitative, descriptive, documentary study. In the population studied, it was understood that pregnant women diagnosed with premature labor admitted to the maternity ward of a public hospital from June to September 2018. Results: it was identified that, of the 40 pregnant women, 21 (52.5% ) were 20 to 34 years old and, in relation to parity, 24 (60%) were multigravid; of the cases that presented some clinical condition associated with the diagnosis of premature labor, Urinary Tract Infection was the most incident complication, corresponding to 27 (65%) of the cases. Conclusion: it appears that the most incident risk factors for the development of premature labor were: maternal age, parity and complications such as Urinary Tract Infection. It was seen that it is up to the professionals involved in prenatal care to provide adequate support for mothers and family members, based on solidarity and welcome, also combining technical and scientific knowledge in order to reduce morbidity and mortality.
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