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Antenatal cervical length measurement as a predictor of successful vaginal birth
BMC Pregnancy and Childbirth ( IF 2.8 ) Pub Date : 2020-03-30 , DOI: 10.1186/s12884-020-02878-z
Omima T Taha 1 , Mohamed Elprince 1 , Khaled A Atwa 1 , Asmaa M Elgedawy 1 , Amal A Ahmed 1 , Rasha E Khamees 1
Affiliation  

Antenatal cervical length measurement has paramount importance in the prediction of labor. It was compared to the Bishop Score and incorporated in the modified Bishop score due to its relevance and convenience. It is a more accurate tool that imposes no harm or distress to the patients. The study aimed to evaluate the role of antenatal cervical length measurement in the prediction of a successful vaginal birth and its relation to the duration of labor. This was a prospective cohort study, conducted at the emergency ward of obstetrics and gynecology department. We recruited 162 women over 1 year from January 2018 to January 2019. Women eligible for the study had a transvaginal ultrasound for the examination of the cervical length before the onset of labor. The success of vaginal delivery was evaluated. The mean cervical length (mm) was 43.3 ± 8.0. The majority of the patients labored spontaneously [102 (63.0%)] while the remaining ones required induction of labor due to different causes. One hundred and eight patients (66.7%) had a successful vaginal delivery. The cervical length was significantly shorter among patients who delivered vaginally than those delivered by CS (P-value < 0.001). Multiple factors had a significant role in the prediction of the mode of delivery (cervical length, BMI, the onset of labor, parity). Maternal body mass index and labor induction were associated with a prolonged duration of the active phase of labor. Antenatal cervical length measurement predicted the mode of delivery as well as the gestational age at which delivery ensued. It can be used in patients’ counseling regarding the mode of delivery.

中文翻译:

产前宫颈长度测量作为阴道分娩成功的预测指标

产前宫颈长度测量在分娩预测中具有极其重要的意义。由于其相关性和便利性,将其与 Bishop Score 进行比较并纳入修改后的 Bishop 评分。它是一种更准确的工具,不会对患者造成伤害或痛苦。该研究旨在评估产前宫颈长度测量在预测阴道分娩成功中的作用及其与分娩持续时间的关系。这是一项前瞻性队列研究,在妇产科急诊病房进行。从 2018 年 1 月到 2019 年 1 月,我们招募了 162 名超过 1 年的女性。符合研究条件的女性在临产前进行了经阴道超声检查宫颈长度。评估阴道分娩的成功率。平均宫颈长度 (mm) 为 43.3 ± 8.0。大多数患者自然分娩 [102 (63.0%)],其余患者因不同原因需要引产。108 名患者 (66.7%) 阴道分娩成功。阴道分娩患者的宫颈长度明显短于 CS 分娩患者(P 值 < 0.001)。多种因素对分娩方式的预测具有重要作用(宫颈长度、BMI、分娩开始、胎次)。产妇体重指数和引产与分娩活跃期的持续时间延长有关。产前宫颈长度测量可预测分娩方式以及随后分娩的胎龄。它可用于患者关于分娩方式的咨询。0%)],其余因不同原因需要引产。108 名患者 (66.7%) 阴道分娩成功。阴道分娩患者的宫颈长度明显短于 CS 分娩患者(P 值 < 0.001)。多种因素对分娩方式的预测具有重要作用(宫颈长度、BMI、分娩开始、胎次)。产妇体重指数和引产与分娩活跃期的持续时间延长有关。产前宫颈长度测量可预测分娩方式以及随后分娩的胎龄。它可用于患者关于分娩方式的咨询。0%)],其余因不同原因需要引产。108 名患者 (66.7%) 阴道分娩成功。阴道分娩患者的宫颈长度明显短于 CS 分娩患者(P 值 < 0.001)。多种因素对分娩方式的预测具有重要作用(宫颈长度、BMI、分娩开始、胎次)。产妇体重指数和引产与分娩活跃期的持续时间延长有关。产前宫颈长度测量可预测分娩方式以及随后分娩的胎龄。它可用于患者关于分娩方式的咨询。7%) 阴道分娩成功。阴道分娩患者的宫颈长度明显短于 CS 分娩患者(P 值 < 0.001)。多种因素对分娩方式的预测具有重要作用(宫颈长度、BMI、分娩开始、胎次)。产妇体重指数和引产与分娩活跃期的持续时间延长有关。产前宫颈长度测量可预测分娩方式以及随后分娩的胎龄。它可用于患者关于分娩方式的咨询。7%) 阴道分娩成功。阴道分娩患者的宫颈长度明显短于 CS 分娩患者(P 值 < 0.001)。多种因素对分娩方式的预测具有重要作用(宫颈长度、BMI、分娩开始、胎次)。产妇体重指数和引产与分娩活跃期的持续时间延长有关。产前宫颈长度测量可预测分娩方式以及随后分娩的胎龄。它可用于患者关于分娩方式的咨询。多种因素对分娩方式的预测具有重要作用(宫颈长度、BMI、分娩开始、胎次)。产妇体重指数和引产与分娩活跃期的持续时间延长有关。产前宫颈长度测量可预测分娩方式以及随后分娩的胎龄。它可用于患者关于分娩方式的咨询。多种因素对分娩方式的预测具有重要作用(宫颈长度、BMI、分娩开始、胎次)。产妇体重指数和引产与分娩活跃期的持续时间延长有关。产前宫颈长度测量可预测分娩方式以及随后分娩的胎龄。它可用于患者关于分娩方式的咨询。
更新日期:2020-04-22
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