Sonographic measurement of cervical length and risk of XXXX .

@entity1 @entity3152 @entity2472
AIM: To study the relationship between cervical lengths measured by ultrasound and risk of @entity3152 . MATERIAL _ METHODS: We examined 209 @entity1 with singleton pregnancies. The inclusion criteria were @entity1 who presented with regular and painful @entity2472 (>= 2 @entity2472 at intervals of 10 min for at least 1 h). Transvaginal scan was performed to measure the cervical length. The clinical management of the @entity1 , including hospitalization and administration of tocolytics, was determined by the attending obstetricians, who were blinded about cervical length. The primary outcome was delivery within 7 days of presentation. RESULTS: Delivery within 7 days of presentation occurred in 19/209 (9%) of pregnancies who were presenting with regular and painful uterine contraction at 31 weeks of gestation, and this was inversely related to cervical length. Logistic regression analysis demonstrated that cervical length and history of abortion remain as significant contributors to predicting delivery within 7 days. Of the @entity1 who presented with threatened @entity3152 , 117 (56%) received tocolytics, and 92 (44%) did not. In the group with a cervical length of <15 mm, delivery within 7 days occurred in 15/21 (71.4%) who were treated with tocolytics and 2/5 (40%) that were managed expectantly. CONCLUSION: @entity1 with threatened @entity3152 and a cervical length of <15 mm at presentation are at high risk of delivering preterm within 7 days. Sonographic measurement of cervical length helps to avoid over-diagnosis of @entity3152 .
