Prediction of Preterm Birth with Serial Measurements of Ultrasound Markers

To compare the ability of cervical length (CL), anterior cervical angle (ACA), and cervical consistency index (CCI) to predict premature birth. This prospective study involved 85 pregnant women who gave birth prematurely and a control group of 31 pregnant women who gave birth at term. The study was...

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Published in:Current health sciences journal 2022-04, Vol.48 (2), p.162-168
Main Authors: Camen, Ioana Victoria, Manolea, Maria Magdalena, Vrabie, Sidonia Catalina, Sandulescu, Maria Sidonia, Serbanescu, Mircea Sebastian, Boldeanu, Mihail Virgil, Novac, Liliana, Istrate-Ofiteru, Anca Maria, Neamtu, Simona Daniela, Dijmarescu, Anda Lorena
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container_title Current health sciences journal
container_volume 48
creator Camen, Ioana Victoria
Manolea, Maria Magdalena
Vrabie, Sidonia Catalina
Sandulescu, Maria Sidonia
Serbanescu, Mircea Sebastian
Boldeanu, Mihail Virgil
Novac, Liliana
Istrate-Ofiteru, Anca Maria
Neamtu, Simona Daniela
Dijmarescu, Anda Lorena
description To compare the ability of cervical length (CL), anterior cervical angle (ACA), and cervical consistency index (CCI) to predict premature birth. This prospective study involved 85 pregnant women who gave birth prematurely and a control group of 31 pregnant women who gave birth at term. The study was performed in the Obstetrics and Gynecology Clinic of the Municipal Clinical Hospital Filanthropia Craiova between January 1, 2019, and January 1, 2022. Cases were examined using transvaginal ultrasonography (TVU) in the second and third trimesters of pregnancy, and cervical length (CL), Anterior Cervical Angle (ACA), and Cervical Consistency Index (CCI) were measured. The mean value from the three measurements at all three parameters was statistically significant with preterm birth (p
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This prospective study involved 85 pregnant women who gave birth prematurely and a control group of 31 pregnant women who gave birth at term. The study was performed in the Obstetrics and Gynecology Clinic of the Municipal Clinical Hospital Filanthropia Craiova between January 1, 2019, and January 1, 2022. Cases were examined using transvaginal ultrasonography (TVU) in the second and third trimesters of pregnancy, and cervical length (CL), Anterior Cervical Angle (ACA), and Cervical Consistency Index (CCI) were measured. The mean value from the three measurements at all three parameters was statistically significant with preterm birth (p&lt;0.05). Cervical length &lt;25mm, was highly significant in the prediction of preterm labor with a sensitivity of 99%, specificity of 61%, positive predictive value (PPV) of 78%, negative predictive value (NPV) of 97 %, and a positive likelihood ratio (LR+) of 2.54 and negative likelihood ratio (LR-) of 0.02. CCI also remains, despite low specificity and PPV values, a potential predictive parameter in the prediction of preterm birth, with a sensitivity of 73%, NPV of 92% and a LR+of 1.32 and LR- of 0.6 also correlated with CL, CCI being more difficult to interpret as an independent predictive parameter. 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CCI also remains, despite low specificity and PPV values, a potential predictive parameter in the prediction of preterm birth, with a sensitivity of 73%, NPV of 92% and a LR+of 1.32 and LR- of 0.6 also correlated with CL, CCI being more difficult to interpret as an independent predictive parameter. CL remains the standard parameter for predicting the preterm birth, but in combination with other parameters, the prediction rate can increase significantly.</abstract><cop>Romania</cop><pub>Medical University Publishing House Craiova</pub><pmid>36320871</pmid><doi>10.12865/CHSJ.48.02.04</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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title Prediction of Preterm Birth with Serial Measurements of Ultrasound Markers
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