Accuracy of cervical transvaginal ultrasonography in predicting preterm birth: a systematic review

Honest, H.; Bachmann, Lucas M.; Kleijnen, Jos; Gupta, Janesh; Khan, Khalid S.

doi:10.1080/718591715

Cited by 4 publications

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“…Neonatal morbidity and mortality occur primarily in infants born between 24 and 32 weeks’ gestation 1 . Preterm birth rates have not decreased for the last decade and spontaneous premature birth earlier than 34 weeks’ gestation still occurs in 3–7% of all pregnancies 1,2,3,4 …”

Section: Introductionmentioning

confidence: 99%

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Transvaginal cervical length measurement; Its current application in a regional Australian level II maternity hospital

Rijswijk¹,

Nagtegaal²,

Mcgavin³

et al. 2005

Aust NZ J Obst Gynaeco

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For patients with a high-risk obstetrical history, a first cervical length measurement at the time of foetal morphology scan followed by one measurement at about 24 weeks would result in a timely diagnosis of almost all cases of clinically relevant cervical shortening. Just having a twin pregnancy, in the absence of other risk factors for preterm birth, does not require cervical length monitoring. Having a twin pregnancy plus additional risk factors clearly identifies a group requiring cervical length measurement and intervention. Previous LLETZ procedures or >or= 3 preceding curettages were not found to be a major risk factor for preterm birth.

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Section: Introductionmentioning

confidence: 99%

“…A short cervical length (CL) is related to an increased risk of spontaneous premature birth in both high‐ and low‐risk pregnant women 2 . In a pregnant population, cervical length is normally distributed, with 5–10% of women having a short cervix 6 .…”

Section: Introductionmentioning

confidence: 99%

Transvaginal cervical length measurement; Its current application in a regional Australian level II maternity hospital

Rijswijk¹,

Nagtegaal²,

Mcgavin³

et al. 2005

Aust NZ J Obst Gynaeco

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“…Preterm infants are at heightened risk for various perinatal complications, including respiratory distress syndrome (prevalence ranging from 27.1% to 34.8%), intraventricular hemorrhage (prevalence ranging from 11.2% to 16.7%), and sepsis (prevalence ranging from 12.4% to 18.9%) [8][9][10][11][12]. Understanding these outcomes in the context of tertiary care hospitals, where clinical practices can significantly impact results, is of paramount importance [9,13].…”

Section: Introductionmentioning

confidence: 99%

Exploring Risk Factors and Perinatal Outcomes of Preterm Birth in a Tertiary Care Hospital: A Comprehensive Analysis

Agarwal,

Agrawal

2024

Cureus

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BackgroundPreterm birth before 37 weeks of gestation is a global public health challenge, particularly in India, where the prevalence varies regionally. Understanding risk factors, such as maternal age and complications like hypertensive disorders, is vital. India's diverse healthcare landscape and regional disparities further complicate this issue. Preterm infants face increased mortality and morbidity risks like respiratory distress and intraventricular hemorrhage. This study in a tertiary care hospital aimed to analyze risk factors, assess perinatal outcomes, and contribute to the understanding of preterm birth in this complex context, providing valuable insights for maternal and child health strategies. MethodsThis retrospective cohort study was conducted at the Venkateshwara Institute of Medical Science, Rajabpur, over one year, extracting data from electronic health records. The study aimed to analyze risk factors associated with preterm delivery and assess perinatal outcomes. The study included diverse pregnancies, both singleton and multiple gestations, and employed sample size calculations to ensure statistical validity. Trained medical personnel collected extensive data on maternal characteristics, obstetric history, antenatal care, perinatal outcomes, and mode of delivery. Statistical analysis, utilizing SPSS (IBM, Chicago, USA), involved descriptive statistics, comparative analysis, chi-square tests, t-tests, Mann-Whitney U tests, and multivariate logistic regression models. Findings with a p-value <0.05 were considered significant. ResultsThe study included 2042 deliveries, with a preterm birth prevalence of 14.2%. Multiparous women had higher preterm birth rates than primigravida (72.92% vs. 27.08%). Maternal age, history of preterm delivery, hypertensive disorders, inadequate antenatal care compliance, previous cesarean section, multiple gestations, antepartum hemorrhage (APH), polyhydramnios, oligohydramnios, and premature rupture of membranes (PROM) were significantly associated with preterm birth. Apgar scores at one minute and five minutes, neonatal complications, and mortality rates were notably worse among preterm births. Vaginal delivery rates were significantly lower in the preterm group (36.3%) compared to full-term deliveries (48.8%), with a higher rate of emergency cesarean sections (19.7% vs. 10.8%). ConclusionThis study provides valuable insights into the risk factors and perinatal outcomes of preterm delivery at a tertiary care hospital, with precise values illustrating the extent of associations. The findings such as history of preterm delivery, hypertensive disorders, and inadequate antenatal care compliance as the most commonly associated conditions with preterm birth and management of such associated conditions may help reduce the rate of premature birth.

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“…To date, the methods used to predict preterm delivery in women symptomatic for preterm delivery, such as fetal fibronectin and digital cervical examination , have had limited success when applied to asymptomatic women . A short transvaginal ultrasonographic cervical length (UCL) has been related to an increased risk of spontaneous preterm delivery (SPD) in both low‐risk and high‐risk women . Iams et al.…”

Section: Introductionmentioning

confidence: 99%

Prophylactic oral nifedipine to reduce preterm delivery: a randomized controlled trial in women at high risk

Danti

Zonca

Barbetti

et al. 2014

Acta Obstet Gynecol Scand

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Accuracy of cervical transvaginal ultrasonography in predicting preterm birth: a systematic review

Cited by 4 publications

References 0 publications

Transvaginal cervical length measurement; Its current application in a regional Australian level II maternity hospital

Transvaginal cervical length measurement; Its current application in a regional Australian level II maternity hospital

Exploring Risk Factors and Perinatal Outcomes of Preterm Birth in a Tertiary Care Hospital: A Comprehensive Analysis

Prophylactic oral nifedipine to reduce preterm delivery: a randomized controlled trial in women at high risk

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