Repeated cervical length measurements for the verification of short cervical length

Autor: Hermans, F.J.R., Koullali, B., Os, M.A. van, Ven, J.E.M. van der, Kazemier, B.M., Woiski, M.D., Willekes, C., Kuiper, P.N., Roumen, F.J.M.E., Groot, C.M. de, Miranda, E. de, Verhoeven, C., Haak, M.C., Pajkrt, E., Schuit, E., Mol, B.W.J., Triple P Grp
Přispěvatelé: Obstetrics and gynaecology, ACS - Atherosclerosis & ischemic syndromes, Midwifery Science, APH - Quality of Care, Amsterdam Reproduction & Development (AR&D), Graduate School, APH - Personalized Medicine, Other departments, Obstetrics and Gynaecology, APH - Methodology, Obstetrie & Gynaecologie, MUMC+: MA Medische Staf Obstetrie Gynaecologie (9), RS: GROW - R4 - Reproductive and Perinatal Medicine
Jazyk: angličtina
Rok vydání: 2017
Předmět:
ACCURACY
Cervix Uteri
Logistic regression
0302 clinical medicine
Risk Factors
030212 general & internal medicine
Prospective Studies
Singleton pregnancy
GESTATION
Prospective cohort study
Netherlands
RISK
030219 obstetrics & reproductive medicine
Obstetrics
Obstetrics and Gynecology
WOMEN
General Medicine
Organ Size
Risk prediction
Cervical Length Measurement
PREGNANCY
Transvaginal ultrasonography
Premature birth
Gestation
Premature Birth
Female
TRIAL
Adult
medicine.medical_specialty
PRETERM BIRTH
03 medical and health sciences
DELIVERY
medicine
Humans
Preterm delivery
Proportional Hazards Models
Retrospective Studies
Pregnancy
TRANSVAGINAL SONOGRAPHY
Proportional hazards model
business.industry
Other Research Radboud Institute for Health Sciences [Radboudumc 0]
Verification
Retrospective cohort study
medicine.disease
Surgery
Logistic Models
business
Cervical length
Zdroj: International Journal of Gynecology & Obstetrics, 139(3), 318-323
Hermans, F J R, Koullali, B, van Os, M A, van der Ven, J E M, Kazemier, B M, Woiski, M D, Willekes, C, Kuiper, P N, Roumen, F J M E, de Groot, C M, de Miranda, E, Verhoeven, C, Haak, M C, Pajkrt, E, Schuit, E & Mol, B W J 2017, ' Repeated cervical length measurements for the verification of short cervical length ', International Journal of Gynecology and Obstetrics, vol. 139, no. 3, pp. 318-323 . https://doi.org/10.1002/ijgo.12321
International Journal of Gynecology and Obstetrics, 139(3), 318-323. Elsevier Ireland Ltd
International Journal of Gynecology & Obstetrics, 139, 3, pp. 318-323
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 139(3), 318-323. Elsevier Ireland Ltd
International Journal of Gynecology & Obstetrics, 139(3), 318-323. Wiley
International Journal of Gynaecology and Obstetrics, 139(3), 318. Elsevier Ireland Ltd
International Journal of Gynecology & Obstetrics, 139, 318-323
ISSN: 0020-7292
DOI: 10.1002/ijgo.12321
Popis: Item does not contain fulltext OBJECTIVE: To determine if the verification of short cervical length with a repeated measurement improved the identification of patients with short cervical length at increased risk of preterm delivery. METHODS: The present secondary analysis analyzed prospective cohort study data from patients with singleton pregnancies without a history of preterm delivery who presented for obstetric care in the Netherlands and delivered between November 18, 2009, and January 1, 2013. Cervical length was measured during standard anomaly scan and a second measurement was performed if the cervical length was 30 mm of shorter. Logistic regression and Cox proportional hazards modeling were used to evaluate associations between cervical length measurements and spontaneous preterm delivery before 37 weeks of pregnancy. RESULTS: Cervical length measurements from 12 358 patients were included; 221 (1.8%) had an initial cervical length measurement of 30 mm or shorter. A second cervical length measurement was performed for 167 (75.6%) patients; no differences were identified in the odds of spontaneous preterm delivery when evaluated using the first, second, or a mean of both measurements, regardless of whether cervical length was analyzed as a continuous or dichotomous variable. CONCLUSION: Among patients with singleton pregnancies, verification of short cervical length did not improve the identification of short cervical length.
Databáze: OpenAIRE
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