Cervical gland area as an ultrasonographic marker for preterm delivery

Cervical gland area as an ultrasonographic marker for preterm delivery

Author Pires, C. R. Google Scholar
Moron, A. F. Google Scholar
Mattar, Rosiane Autor UNIFESP Google Scholar
Diniz, ALD Google Scholar
Andrade, SGA Google Scholar
Bussamra, LCS Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Objective: To assess the association between spontaneous preterm delivery (SPTD) in the general population and the measurement of the cervix length, cervical funneling, and absence of the cervical gland area (CGA). Method: A prospective cohort of 338 women carrying uncomplicated pregnancies was evaluated by transvaginal sonography between 21 and 24 weeks' gestation. Results: Measurement of cervical length with less than 20 mm and the presence of cervical funneling presented a statistically significant association with SPTD before 35 weeks. the nondetection of CGA demonstrated a strong association with SPTD before 37 weeks' (p < 0.001; OR=194.5) and before 35 weeks' gestation (p < 0.001; OR=129.6). the multiple logistic regression analysis suggested the non-detection of CGA as the only variable to reveal statistically significance association with SPTD. Conclusion: the results seem to indicate that the absence of CGA can be a new and important ultrasound marker for SPTD, to be confirmed by future multicenter investigations. (c) 2005 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
Keywords pregnancy
cervix
preterm delivery
transvaginal sonography
cervical gland area
Language English
Date 2006-06-01
Published in International Journal of Gynecology & Obstetrics. Clare: Elsevier B.V., v. 93, n. 3, p. 214-219, 2006.
ISSN 0020-7292 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 214-219
Origin http://dx.doi.org/10.1016/j.ijgo.2005.12.010
Access rights Closed access
Type Article
Web of Science ID WOS:000238592100003
URI http://repositorio.unifesp.br/handle/11600/28950

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