Cargando…
Women's Obstetric History and Midtrimester Cervical Length Measurements by 2D/3D and Doppler Ultrasound
Objective The aim of the present study was to compare the obstetric history and both two- and tri-dimensional ultrasound parameters according to different cervical lengths. Methods The present cross-sectional study analyzed 248 midtrimester pregnant women according to cervical length and compared...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Revinter Publicações Ltda
2020
|
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10309237/ https://www.ncbi.nlm.nih.gov/pubmed/32575132 http://dx.doi.org/10.1055/s-0040-1713010 |
_version_ | 1785066407726153728 |
---|---|
author | Marinelli, Juliana Valente Codato Filho, Antonio Gomes de Amorim de Barros, Monica Fairbanks Rodrigues, Agatha Sacramento Francisco, Rossana Pulcineli Vieira Carvalho, Mario Henrique Burlacchini de |
author_facet | Marinelli, Juliana Valente Codato Filho, Antonio Gomes de Amorim de Barros, Monica Fairbanks Rodrigues, Agatha Sacramento Francisco, Rossana Pulcineli Vieira Carvalho, Mario Henrique Burlacchini de |
author_sort | Marinelli, Juliana Valente Codato |
collection | PubMed |
description | Objective The aim of the present study was to compare the obstetric history and both two- and tri-dimensional ultrasound parameters according to different cervical lengths. Methods The present cross-sectional study analyzed 248 midtrimester pregnant women according to cervical length and compared the data with the obstetric history and 2D/3D ultrasound parameters. Patients were divided into 3 groups according to cervical length: The Short Cervix group for cervical lengths ≥ 15 mm and < 25 mm ( n = 68), the Very Short Cervix group for cervical lengths < 15 mm ( n = 18) and the Control group, composed of 162 pregnant women with uterine cervical lengths ≥ 25 mm. Results When analyzing the obstetric history of only non-nulliparous patients, a significant association between the presence of a short cervix in the current pregnancy and at least one previous preterm birth was reported ( p = 0.021). Cervical length and volume were positively correlated (Pearson coefficient = 0.587, p < 0.0001). The flow index (FI) parameter of cervical vascularization was significantly different between the Control and Very Short Cervix groups. However, after linear regression, in the presence of volume information, we found no association between the groups and FI. Uterine artery Doppler was also not related to cervical shortening. Conclusion The present study showed a significant association between the presence of a short cervix in the current pregnancy and at least one previous preterm birth. None of the vascularization indexes correlate with cervical length as an independent parameter. Uterine artery Doppler findings do not correlate with cervical length. |
format | Online Article Text |
id | pubmed-10309237 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Thieme Revinter Publicações Ltda |
record_format | MEDLINE/PubMed |
spelling | pubmed-103092372023-07-27 Women's Obstetric History and Midtrimester Cervical Length Measurements by 2D/3D and Doppler Ultrasound Marinelli, Juliana Valente Codato Filho, Antonio Gomes de Amorim de Barros, Monica Fairbanks Rodrigues, Agatha Sacramento Francisco, Rossana Pulcineli Vieira Carvalho, Mario Henrique Burlacchini de Rev Bras Ginecol Obstet Objective The aim of the present study was to compare the obstetric history and both two- and tri-dimensional ultrasound parameters according to different cervical lengths. Methods The present cross-sectional study analyzed 248 midtrimester pregnant women according to cervical length and compared the data with the obstetric history and 2D/3D ultrasound parameters. Patients were divided into 3 groups according to cervical length: The Short Cervix group for cervical lengths ≥ 15 mm and < 25 mm ( n = 68), the Very Short Cervix group for cervical lengths < 15 mm ( n = 18) and the Control group, composed of 162 pregnant women with uterine cervical lengths ≥ 25 mm. Results When analyzing the obstetric history of only non-nulliparous patients, a significant association between the presence of a short cervix in the current pregnancy and at least one previous preterm birth was reported ( p = 0.021). Cervical length and volume were positively correlated (Pearson coefficient = 0.587, p < 0.0001). The flow index (FI) parameter of cervical vascularization was significantly different between the Control and Very Short Cervix groups. However, after linear regression, in the presence of volume information, we found no association between the groups and FI. Uterine artery Doppler was also not related to cervical shortening. Conclusion The present study showed a significant association between the presence of a short cervix in the current pregnancy and at least one previous preterm birth. None of the vascularization indexes correlate with cervical length as an independent parameter. Uterine artery Doppler findings do not correlate with cervical length. Thieme Revinter Publicações Ltda 2020-06-23 2020-09 /pmc/articles/PMC10309237/ /pubmed/32575132 http://dx.doi.org/10.1055/s-0040-1713010 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ). https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Marinelli, Juliana Valente Codato Filho, Antonio Gomes de Amorim de Barros, Monica Fairbanks Rodrigues, Agatha Sacramento Francisco, Rossana Pulcineli Vieira Carvalho, Mario Henrique Burlacchini de Women's Obstetric History and Midtrimester Cervical Length Measurements by 2D/3D and Doppler Ultrasound |
title | Women's Obstetric History and Midtrimester Cervical Length Measurements by 2D/3D and Doppler Ultrasound |
title_full | Women's Obstetric History and Midtrimester Cervical Length Measurements by 2D/3D and Doppler Ultrasound |
title_fullStr | Women's Obstetric History and Midtrimester Cervical Length Measurements by 2D/3D and Doppler Ultrasound |
title_full_unstemmed | Women's Obstetric History and Midtrimester Cervical Length Measurements by 2D/3D and Doppler Ultrasound |
title_short | Women's Obstetric History and Midtrimester Cervical Length Measurements by 2D/3D and Doppler Ultrasound |
title_sort | women's obstetric history and midtrimester cervical length measurements by 2d/3d and doppler ultrasound |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10309237/ https://www.ncbi.nlm.nih.gov/pubmed/32575132 http://dx.doi.org/10.1055/s-0040-1713010 |
work_keys_str_mv | AT marinellijulianavalentecodato womensobstetrichistoryandmidtrimestercervicallengthmeasurementsby2d3danddopplerultrasound AT filhoantoniogomesdeamorim womensobstetrichistoryandmidtrimestercervicallengthmeasurementsby2d3danddopplerultrasound AT debarrosmonicafairbanks womensobstetrichistoryandmidtrimestercervicallengthmeasurementsby2d3danddopplerultrasound AT rodriguesagathasacramento womensobstetrichistoryandmidtrimestercervicallengthmeasurementsby2d3danddopplerultrasound AT franciscorossanapulcinelivieira womensobstetrichistoryandmidtrimestercervicallengthmeasurementsby2d3danddopplerultrasound AT carvalhomariohenriqueburlacchinide womensobstetrichistoryandmidtrimestercervicallengthmeasurementsby2d3danddopplerultrasound |