Almadani, A., Abuandoos, R., Althomali, R., Aldhaban, D., Alshamrani, A., Alqahtani, A., Alrizq, B., Alsafwani, E., H, K., Mohammed, A. (2017). Prediction of Preterm Birth in Women with Short Cervix. test, 67(2), 726-730. doi: 10.12816/0037828
Abdullah Mousa M Almadani; Rasha Ali Ahmed Abuandoos; Ruya Abdulaziz Althomali; Dina Nasser Aldhaban; Alanoud Abdulrahman Ali Alshamrani; Ahmed Saeed H. Alqahtani; Bshaer Haji A Alrizq; Eman Najib M Alsafwani; Khlood Ibraheem H; Ayah Ali Mohammed Mohammed. "Prediction of Preterm Birth in Women with Short Cervix". test, 67, 2, 2017, 726-730. doi: 10.12816/0037828
Almadani, A., Abuandoos, R., Althomali, R., Aldhaban, D., Alshamrani, A., Alqahtani, A., Alrizq, B., Alsafwani, E., H, K., Mohammed, A. (2017). 'Prediction of Preterm Birth in Women with Short Cervix', test, 67(2), pp. 726-730. doi: 10.12816/0037828
Almadani, A., Abuandoos, R., Althomali, R., Aldhaban, D., Alshamrani, A., Alqahtani, A., Alrizq, B., Alsafwani, E., H, K., Mohammed, A. Prediction of Preterm Birth in Women with Short Cervix. test, 2017; 67(2): 726-730. doi: 10.12816/0037828

Prediction of Preterm Birth in Women with Short Cervix

The Egyptian Journal of Hospital Medicine
Article 28, Volume 67, Issue 2, April 2017, Pages 726-730    PDF (268.73 K)
Document Type: Original Article
DOI: 10.12816/0037828
Authors
Abdullah Mousa M Almadani1; Rasha Ali Ahmed Abuandoos2; Ruya Abdulaziz Althomali3; Dina Nasser Aldhaban4; Alanoud Abdulrahman Ali Alshamrani4; Ahmed Saeed H. Alqahtani2; Bshaer Haji A Alrizq5; Eman Najib M Alsafwani6; Khlood Ibraheem H5; Ayah Ali Mohammed Mohammed3
1King Abdulaziz University
2King Khalid University
3Taif University
4Alfaisal University
5Ibn Sina National College
6IAU ( Imam Abdulrahman Bin Faisal University )
Abstract
Background: Second trimester short cervical length identifies women at increased risk for an early spontaneous Preterm birth (sPTB), hence raising a compelling needed for Cervical Assessment for prediction and possible Preventing Preterm Delivery.
Objective of the study: to assess the implications associated with a short cervical length as well as the use of ultrasonographic-derived cervical length measurement in predicting preterm birth.
Methods: the present review includes relevant randomized controlled trials (RCTs) that investigated the in Medline (via PubMed), Cochrane Library and Embase. Retrospective and Prospective Cohort studies, Case-control and Randomised controlled trials. There were no restrictions by outcomes examined, language or publication status.
Results: The critical search results yielded 6 articles (randomized trials=2, cohort studies=3, case-control study=1) representing 653 patients . Five of the 6 presented similar pregnancy outcomes (spontaneous preterm birth or pregnancy loss < 24 weeks’ gestation) between the ultrasound-indicated and the history-indicated cerclage groups.  45–69% of the patients followed with cervical ultrasound were able to avoid cerclage. 
Conclusion: Evidence from randomized trials supports that transvaginal ultrasound is predictive of preterm birth in women with prior preterm birth and a short cervix. The thresholds proposed vary from 15 mm to 28 mm and cerclage is thus recommended.
 
Keywords
Preterm birth, labour, ultrasound, cerclage, incompetent cervix, transvaginal, transperineal, cervical length, pPROM., obstetric ultrasound; prediction
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