Implementation of universal screening for preterm delivery by mid-trimester cervical-length measurement
| Autor: | Athena P. Souka, Athanasios Pilalis, Dimitrios Kassanos, Ioannis Papastefanou, George Papadopoulos |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine Radiological and Ultrasound Technology Singleton business.industry Obstetrics Incidence (epidemiology) Obstetrics and Gynecology General Medicine medicine.disease Cervical Length Measurement Miscarriage 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Reproductive Medicine medicine Gestation Mid trimester Radiology Nuclear Medicine and imaging 030212 general & internal medicine business Cervix Preterm delivery |
| Zdroj: | Ultrasound in Obstetrics & Gynecology. 53:396-401 |
| ISSN: | 0960-7692 |
| Popis: | OBJECTIVE To assess the feasibility and results of introducing a policy of universal screening for preterm delivery (PTD) by mid-trimester cervical-length (CL) measurement. METHODS In this retrospective cross-sectional study of singleton pregnancies, transvaginal sonography for CL measurement was performed at 20-24 weeks of gestation. Vaginal progesterone therapy was offered to women with CL ≤ 15 mm. The incidence of spontaneous PTD (sPTD) according to CL and the distribution of CL measurements were assessed. Rate of PTD before implementation of screening was compared with that after. RESULTS A total of 10 506 singleton pregnancies were assessed. The decline rate was 1.32%. sPTD |
| Databáze: | OpenAIRE |
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