Mid-trimester residual cervical length and the risk of preterm birth in pregnancies after abdominal radical trachelectomy: a retrospective analysis
| Autor: | Mamoru Tanaka, Satoru Ikenoue, Naoaki Kuji, Kei Miyakoshi, Kyoko Tanaka, Tadashi Matsumoto, Yoshifumi Kasuga, Yasutada Akiba, Kazuhiro Minegishi, Daigo Ochiai, Toshimitsu Otani, Daisuke Aoki, Marie Fukutake, R Roberts, Hiroshi Nishio |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Trachelectomy medicine.medical_treatment Population Uterine Cervical Neoplasms Cervix Uteri Residual Ultrasonography Prenatal 03 medical and health sciences 0302 clinical medicine Japan Predictive Value of Tests Pregnancy Humans Medicine Cervical cerclage education Cervix Cerclage Cervical Retrospective Studies Gynecology education.field_of_study 030219 obstetrics & reproductive medicine business.industry Obstetrics Infant Newborn Obstetrics and Gynecology Gestational age Retrospective cohort study Treatment Outcome medicine.anatomical_structure ROC Curve Cervical Length Measurement Pregnancy Trimester Second 030220 oncology & carcinogenesis Premature Birth Gestation Female business Pregnancy Complications Neoplastic |
| Zdroj: | BJOG: An International Journal of Obstetrics & Gynaecology. 124:1729-1735 |
| ISSN: | 1470-0328 |
| DOI: | 10.1111/1471-0528.14688 |
| Popis: | Objective To investigate the association between mid-trimester residual cervical length (CL) and the risk of preterm birth in pregnancies after abdominal radical trachelectomy (RT). Design Retrospective cohort study. Setting University hospital. Population A total of 33 deliveries after 22 weeks’ gestation in 30 women who underwent abdominal RT including prophylactic cervical cerclage and perinatal care between January 2002 and May 2016. Methods The association between mid-trimester residual CL (the distance between the cerclage and the external cervical os) and gestational age at delivery was investigated. Receiver–operating characteristics (ROC) curve analysis was performed to estimate the optimal cut-off values of the mid-trimester residual CL for the prediction of preterm birth. Main outcome measures Preterm birth before 34 weeks’ gestation. Results Mid-trimester residual CL showed a significant correlation with gestational age at delivery (r = 0.36, P |
| Databáze: | OpenAIRE |
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