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Abstract

PREDICT PRETERM BIRTH BY TRANSVAGINAL SONOGRAPHIC MEASUREMENT OF CERVICAL LENGTH IN THIRD TRIMESTER

Saadati N MD1, *Cheraghi M PhD2, Najafian M MD1, Momengharibvand M MD3, Raissi LMD1, Gharibzadeh S PhD4

1Department of Obstetrics & Gynecology, Medical School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
2Member of Social Determinant of Heath Research Center, Department of Public Heath, Health School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
3Department of Radiologie, Medical School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
4Department of BioStatistic, Healthschool, Tehran University of Medical Sciences, Tehran, Iran.

ABSTRACT

Preterm birth was a major cause of perinatal mortality and morbidity in developed country as well as developing country. We aimed to study relationship between cervical length measured by Transvaginal sonographic (TVS) and risk of preterm delivery. Methodology: In this prospective study of 150 symptomatic antenatal women with gestational age of 28-37 weeks were recruited; as they came due to treat of preterm birth in third trimester by Transvaginal sonographic in Imam Khomeini hospital, Ahvaz city, 2013.The cervical length of pregnant women has divided into five groups; 1- cervical length < 15 millimetre, 2- cervical length 16-19 mm, 3- cervical length 20-24 mm, 4- cervical length 25-29 mm, 5- cervical length > 30 mm. Data was entered and analysed using SPSS (version 19). P-value of 0.05 was considered statistically significant. In the unvaried analysis, relative risk with 95% confidence interval has been used. Results: The mean age of patients was 28.26yars old. Relative risk in different groups of cervical length of <15mm, 16-19 mm, 20- 24 mm,25-29 mm, > 30 mm were 14, 9.8,6.12, 3.04 respectively. There was significant difference between these group and preterm birth (p<0.0001). Conclusion: Cervical length measurement by Transvaginal sonographic in third trimester is one of the most effective screening methods for prediction of Preterm birth. The finding has demonstrated strong relative risk between a short cervical length and preterm delivery.

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