
An International Publisher for Academic and Scientific Journals
Author Login
Scholars Journal of Applied Medical Sciences | Volume-4 | Issue-01
Ultrasonographic measurement of cervical length at 18-24 weeks of gestation as a predictor for preterm labour
Dr Jayati Nath, Dr S. Siddiqui
Published: Jan. 30, 2016 |
177
115
DOI: 10.36347/sjams.2016.v04i01.027
Pages: 146-151
Downloads
Abstract
This study was undertaken to evaluate the cervical length ultrasonographically at 18 to 24 weeks of gestation
in asymptomatic women and predicting risk of preterm labour and delivery. A hospital based prospective study was
conducted by enrolling 550 antenatal patients with gestations between 18 and 24 weeks & their cervical length were
measured by USG and were followed through their pregnancy, labour and delivery. All the relevant data were recorded,
studied & statistically analysed. 40 patients were lost to follow up. Therefore, all the result analyses were done for 510
patients. Majority of the patients belonged to age group 21- 30 years (58.43 %), primigravida (43.00 %), from urban
background (68.03 %) , belonged to lower socio-economic status (52.9 %), at 21 weeks of gestation (30.78 %). 338
patients had labour at term (66.29 %), 137 (26.90 %) had preterm & 35 (6.81 %) had post-term labour. With cervical
length < 1.5 cm, all 5 patients went into preterm labour (100 %), cervical length 1.5-2.0 cm, 33 patients(94.28 %) went
into preterm labour, 2.1-2.5 cm cervical length 51 patients (67.10 %) went into preterm labour, 2.6-3.0 cm 17
patients(15.17% ) patients went into preterm labour & in those patients with cervical length > 3.0 cm, 31 (10.99 %)
landed up in preterm labour. When statistically analysed, the association between cervical length and gestational age at
which labour started was found to be very significant and results showed แตก2 =190.01, df= 1, P< 0.0001. (Very significant).
As the cervical length increases, the median gestational age at which labour started also increases which was found to be
significant .(r = 0.98, P< 0.01). Patients with shorter cervices had shorter gestations and went into labour early. Thus
ultrasonographic measurement of cervical length at 18-24 weeks of gestation can be utilized as a tool for predicting
adverse pregnancy outcome especially preterm labour and delivery.