Qualitative glandular cervical score as a potential new sonomorphological parameter in screening for preterm delivery

Grgić, Ozren; Matijević, Ratko; Vasilj, Oliver

doi:10.1016/j.ultrasmedbio.2005.12.010

Cited by 12 publications

(10 citation statements)

References 16 publications

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“…With significant difference found on conventional LR and LR weighted by prevalence calculation (35.1 and 2.7) we conclude that CL measurement has its place in the assessment of low risk pregnant women in population based PTL screening programs. This is already confirmed by some of our previously published reports 18,19 . Unfortunately, this significance is not so good in the assessment of low risk population for early PTL.…”

Section: Discussionsupporting

confidence: 87%

“…It is our belief that such difference is results of relatively low number of women included in our study but it might be also influenced by the CL cut of point value used in order to diagnose cervical insufficiency. The results of diagnostic accuracy obtained in this study are even better compared to some our previously published reports 18,19 . We believe that this difference represents our personal learning curve improvement in CL assessment and screening for PTL.…”

Section: Discussionsupporting

confidence: 61%

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Vaginal pH versus cervical length in the mid‐trimester as screening predictors of preterm labor in a low‐risk population

Matijević

Grgić

Knežević

2010

Intl J Gynecology & Obste

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Methods: Prospective cohort study of 316 low-risk pregnant women. Vaginal pH was measured using test gloves for measuring the vaginal acidity, while CL was measured using transvaginal ultrasound. The cut off value for vaginal pH used was 5.0 (95 th centile for our population) whereas shortened CL was defined as < 26 mm (5 th centile for our population).Results: Elevated vaginal pH was found in 4.4% whereas shortened CL was found in 2.8%. The incidence of PTL (< 37 weeks) was 7.2%, and early PTL (< 34 weeks) was 3.4%. Shortened CL is significantly related to PTL (LR weighted by prevalence 2.7, 95% CI 1.1-6.7) but is not to early PTL (LR weighted by prevalence 0.8, 95% CI 0.4-1.8). Elevated vaginal pH is better predictor of PTL (LR weighted by prevalence 3.7, 95% CI 1.3-10.4) and early PTL (LR weighted by prevalence 1.7, 95% CI 1.1-3.1). Conclusion:Elevated vaginal pH has better accuracy in comparison with shortened CL regarding the prediction of early PTL in low risk pregnant women.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 61%

Vaginal pH versus cervical length in the mid‐trimester as screening predictors of preterm labor in a low‐risk population

Matijević

Grgić

Knežević

2010

Intl J Gynecology & Obste

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“…Sensitivity and PPV were higher than those predicted by short cervix, which offers 50% sensitivity and 8.3% PPV. Grgic et al [16] also showed the usefulness of absent CGA along with short cervix in predicting PTD for low-risk pregnant women.…”

Section: Discussionmentioning

confidence: 96%

Significance of Cervical Gland Area in Predicting Preterm Birth for Patients with Threatened Preterm Delivery: Comparison with Cervical Length and Fetal Fibronectin

Asakura

Fukami²,

Kurashina³

et al. 2009

Gynecol Obstet Invest

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Background/Aims: Absent cervical gland area (CGA) has been considered a predictor of preterm delivery (PTD) for women at low risk. Predictive efficacy was analyzed in women at high risk for PTD and compared with cervical length (CL) <20 mm and fetal fibronectin (fFN) in cervicovaginal secretions. Methods: Case notes were reviewed for 108 subjects with gestation of 22–33 weeks who had been admitted to hospital with threatened PTD. The uterine cervix was observed by vaginal sonography and fFN was sampled on admission. Relationships between findings and outcome of PTD at <34 weeks’ gestation were analyzed. Results: Delivery at <34 weeks’ gestation occurred in 14.8% of patients. Absent CGA (68.8%), short CL (75.0%), short CL without CGA (62.5%) and positive fFN (62.5%) were more frequent in these patients than in patients undelivered at <34 weeks’ gestation (p < 0.05). Logistic regression analysis identified positive fFN and short CL with absent CGA as independent predictors for PTD (p < 0.0001). The mean interval from admission to delivery was 2.9 weeks in cases with fFN and both sonographic findings, compared to 9.3 weeks in cases with fFN but both sonographic finding (p = 0.0005). Conclusion: Short CL with absent CGA represents an independent predictor for PTD, as does fFN.

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“…Most of these studies on CGA had been done on patients with preterm labor or as a predictor for preterm labor. 24,25,26 No studies are there at present to compare CGA in term patients to predict successful labor induction. Ana M Gomez Laencina compared the capacity of bishop's score and trans-vaginal sonographic cervical length for predicting successful induction of labor.…”

Section: Discussionmentioning

confidence: 99%

“…3 In the past few years publications have highlighted the importance of morphological ultrasonographic marker that could directly reflect cervical maturation named as the "cervical gland area". 4,[24][25][26] Non detection of cervical gland area could correspond to the beginning of the uterine cervix maturation. 4,25 Transvaginal evaluation of cervix is useful in predicting successful labor induction (i.e.…”

Section: Introductionmentioning

confidence: 99%

Significance of cervical length and cervical gland area in cervical maturation

Savitha

Arpitha

Rangaiah

2016

Int J Reprod Contracept Obstet Gynecol

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Qualitative glandular cervical score as a potential new sonomorphological parameter in screening for preterm delivery

Cited by 12 publications

References 16 publications

Vaginal pH versus cervical length in the mid‐trimester as screening predictors of preterm labor in a low‐risk population

Vaginal pH versus cervical length in the mid‐trimester as screening predictors of preterm labor in a low‐risk population

Significance of Cervical Gland Area in Predicting Preterm Birth for Patients with Threatened Preterm Delivery: Comparison with Cervical Length and Fetal Fibronectin

Significance of cervical length and cervical gland area in cervical maturation

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