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303259

Prediction of latency period in patients with PPROM by cervical measurements using Transvaginal Ultrasound; A Prospective cohort study

Article

Last updated: 03 Jan 2025

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Abstract

Background: Preterm premature rupture of membranes (PPROM) is a main cause of Preterm Labor (PTL) which is the most major cause of perinatal morbidity and mortality. Measurements of angle between cervix and uterus may play a role in prediction of PTL. Aim of the Work: To assess the accuracy of cervical length, posterior and anterior cervical angles to predict the latency in PPROM. Design: A cohort Prospective study on 150 patients with PPROM was done in 2 private hospitals in KSA. Methods : patients with PPROM had underwent a transvaginal ultrasound examination to measure cervical length (CxL), posterior and anterior uterocervical angle. Results: The latency period was within 2 days in 42 patients (28%) while was after 2 days in 108 patients (72%) of cases. The cervical length (CxL) cut-off value was 26.0 mm, while the sensitivity and specificity were (79.7% and 67.4% respectively), The Cut off value of posterior uterocervical angle (PCA) was 109.0˚ while the sensitivity and specificity were (94.0% and 62.3% respectively), The Cut off value of anterior uterocervical angle (ACA) was 107.0˚ while the sensitivity and specificity were (94.0% and 73.4% respectively). Conclusion: The combination of the length of Cervix (CxL), PCA and ACA values can predict the latency period in patients with PPROM

DOI

10.21608/egyfs.2023.303259

Keywords

latency period, PPROM, length of the cervix, ACA, PCA

Authors

First Name

Amr

Last Name

Sweed

MiddleName

Sobhy

Affiliation

Lecturer of Obstetrics and Gynecology Faculty of medicine, Ain Shams University, Cairo-Egypt, Consultant obstetrics and gynecology, Madinah National hospital , Madinah al Munawara - Saudia Arabia

Email

sobhyamr@yahoo.com

City

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Orcid

-

First Name

Mohamed

Last Name

Taema

MiddleName

I

Affiliation

Department of obstetrics and gynecology, Ain shams university. Cairo Egypt

Email

mohamed.taema@yahoo.com

City

-

Orcid

-

First Name

Khalid

Last Name

Akkour

MiddleName

-

Affiliation

Department OB/GYN, Faculty of medicine, King Saud University, Riyadh, KSA

Email

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City

-

Orcid

-

First Name

Shahida

Last Name

Khaliq

MiddleName

-

Affiliation

Department OB/GYN, Faculty of medicine, King Saud University, Riyadh, KSA

Email

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City

-

Orcid

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Volume

27

Article Issue

3

Related Issue

41782

Issue Date

2023-05-01

Receive Date

2023-06-12

Publish Date

2023-05-01

Page Start

47

Page End

53

Print ISSN

1110-6352

Online ISSN

2536-9768

Link

https://egyfs.journals.ekb.eg/article_303259.html

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https://egyfs.journals.ekb.eg/service?article_code=303259

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6

Type

Original Article

Type Code

319

Publication Type

Journal

Publication Title

The Egyptian Journal of Fertility of Sterility

Publication Link

https://egyfs.journals.ekb.eg/

MainTitle

Prediction of latency period in patients with PPROM by cervical measurements using Transvaginal Ultrasound; A Prospective cohort study

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Article

Created At

23 Dec 2024