Predictive role of transvaginal ultrasonographic measurement of cervical length at 34 weeks for late pre-term and late-term deliveries in nulliparous women


Kokanali M. K. , Celik H., Kokanali D., Tasci Y.

JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, vol.29, no.11, pp.1789-1794, 2016 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 29 Issue: 11
  • Publication Date: 2016
  • Doi Number: 10.3109/14767058.2015.1063609
  • Title of Journal : JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
  • Page Numbers: pp.1789-1794

Abstract

Objective: To investigate the predictive role of transvaginal ultrasonographic measurement of cervical length (CL) at 34 weeks of gestation in determining late-preterm and late-term deliveries in nulliparous women.Methods: CL was measured by transvaginal ultrasonography at 34 weeks in 318 women (singleton, nulliparous, low-risk and vertex presentation). All women were followed-up till birth and delivered at hospital. Deliveries were classifed according to gestational week as late-preterm (34(0/7) to 36(6/7) weeks), term (37(0/7) to 40(6/7) weeks) and late-term (41(0/7) to 41(6/7) weeks).Results: There was a significant correlation between CL at 34 weeks and gestational week at delivery (r=0.614, p<0.001). Receiver-operating characteristic curve analysis showed that CL measurement below 25.5mm predicted late-preterm delivery with a sensitivity of 80.0%, specificity of 93.9%, positive predictive value (PPV) of 52.6% and negative predictive value (NPV) of 98.2%; while CL above 42.5mm had 70.4% sensitivity, 93.5% specificity, 50.0% PPV and 97.1% NPV in prediction of late-term delivery.Conclusion: Measurement of CL with transvaginal ultrasonography at 34 weeks of gestation can be of beneficial in predicting the risk of late-preterm and late-term deliveries in nulliparous women.