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178285

PREDICTION OF PROLONGED PREGNANCY IN NULLIPAROUS WOMEN BY TRANSVAGINAL ULTRASOUND MEASUREMENT OF CERVICAL LENGTH AT 37 WEEKS OF PREGNANCY

Article

Last updated: 24 Dec 2024

Subjects

-

Tags

Surgery

Abstract

Background: Prolonged pregnancy occurs in approximately 10% of all singletone pregnancy and is associated with an increased risk of foetal macrosomia, intrapartum fetal cardiac abnormalities, meconium staining, perinatal death, and cesarean delivery. Objective: To detect the relationship between transvaginal ultrasound measurement of cervical length at 37 weeks of pregnancy and prolonged pregnancy in nullipara. Patients and Methods: This was a prospective study of women attending Mataria teaching hospital was conducted from January 2019 to December 2019. The study included 120 women at 37 weeks of gestation observed till time of delivery. Gestational age was determined from the menstrual history and confirmed by an ultrasound scan and measurement of the crown–rump length in the first trimester, or the head circumference in the second trimester. Results: This study showed that cervical length at weeks can predict the likelihood of prolonged pregnancy and is associated with the gestation at spontaneous onset of labor in low-risk nulliparous women and the best cut-off value for prediction of prolonged pregnancy was 3.3cm with a sensitivity of 80% and specificity of 83.1. Conclusions: Transvaginal ultrasound measurement of cervical length at 37 weeks of pregnancy is important for prediction of the duration of pregnancy in primigravidae.

DOI

10.21608/amj.2021.178285

Keywords

prolonged pregnancy, Cervical length, 37-week Scan Ultrasonography

Authors

First Name

Mahmoud

Last Name

Abd El-Allah Mohammed

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University Cairo, Egypt

Email

mahmoud_mohammed@gmail.com

City

-

Orcid

-

First Name

Al-Sayed

Last Name

Mohammad Taha

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University Cairo, Egypt

Email

-

City

-

Orcid

-

First Name

Attia

Last Name

Mohammad Attia

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University Cairo, Egypt

Email

-

City

-

Orcid

-

Volume

50

Article Issue

3

Related Issue

25707

Issue Date

2021-07-01

Receive Date

2021-06-17

Publish Date

2021-07-01

Page Start

1,849

Page End

1,858

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_178285.html

Detail API

https://amj.journals.ekb.eg/service?article_code=178285

Order

25

Type

Original Article

Type Code

941

Publication Type

Journal

Publication Title

Al-Azhar Medical Journal

Publication Link

https://amj.journals.ekb.eg/

MainTitle

PREDICTION OF PROLONGED PREGNANCY IN NULLIPAROUS WOMEN BY TRANSVAGINAL ULTRASOUND MEASUREMENT OF CERVICAL LENGTH AT 37 WEEKS OF PREGNANCY

Details

Type

Article

Created At

22 Jan 2023