dc.contributor.author |
Souka, AP |
en |
dc.contributor.author |
Papastefanou, I |
en |
dc.contributor.author |
Michalitsi, V |
en |
dc.contributor.author |
Papadopoulos, GK |
en |
dc.contributor.author |
Kassanos, D |
en |
dc.date.accessioned |
2014-06-06T06:51:10Z |
|
dc.date.available |
2014-06-06T06:51:10Z |
|
dc.date.issued |
2011 |
en |
dc.identifier.issn |
01973851 |
en |
dc.identifier.uri |
http://dx.doi.org/10.1002/pd.2683 |
en |
dc.identifier.uri |
http://62.217.125.90/xmlui/handle/123456789/5365 |
|
dc.subject |
Cervical incompetence |
en |
dc.subject |
First-trimester cervical length |
en |
dc.subject |
Preterm delivery |
en |
dc.subject |
Short cervix |
en |
dc.subject |
Transvaginal ultrasound |
en |
dc.subject.other |
adolescent |
en |
dc.subject.other |
adult |
en |
dc.subject.other |
article |
en |
dc.subject.other |
clinical article |
en |
dc.subject.other |
controlled study |
en |
dc.subject.other |
female |
en |
dc.subject.other |
first trimester pregnancy |
en |
dc.subject.other |
gynecological examination |
en |
dc.subject.other |
human |
en |
dc.subject.other |
longitudinal study |
en |
dc.subject.other |
measurement |
en |
dc.subject.other |
nuchal translucency measurement |
en |
dc.subject.other |
pregnant woman |
en |
dc.subject.other |
premature labor |
en |
dc.subject.other |
priority journal |
en |
dc.subject.other |
short uterine cervix |
en |
dc.subject.other |
transvaginal echography |
en |
dc.subject.other |
uterine cervix |
en |
dc.subject.other |
uterine cervix disease |
en |
dc.subject.other |
Adolescent |
en |
dc.subject.other |
Adult |
en |
dc.subject.other |
Cervical Length Measurement |
en |
dc.subject.other |
Cervix Uteri |
en |
dc.subject.other |
Feasibility Studies |
en |
dc.subject.other |
Female |
en |
dc.subject.other |
Humans |
en |
dc.subject.other |
Middle Aged |
en |
dc.subject.other |
Models, Biological |
en |
dc.subject.other |
Pregnancy |
en |
dc.subject.other |
Pregnancy Complications |
en |
dc.subject.other |
Pregnancy Trimester, First |
en |
dc.subject.other |
Prospective Studies |
en |
dc.subject.other |
Uterine Cervical Diseases |
en |
dc.subject.other |
Young Adult |
en |
dc.title |
A predictive model of short cervix at 20-24 weeks using first-trimester cervical length measurement and maternal history |
en |
heal.type |
journalArticle |
en |
heal.identifier.primary |
10.1002/pd.2683 |
en |
heal.publicationDate |
2011 |
en |
heal.abstract |
Objectives: To develop a model for the prediction of short cervix ( ≤ 15 mm) at 20-24 weeks by combining maternal history and transvaginal ultrasonographic measurement of cervical length at 11-14 weeks. To explore the value of an additional ultrasound examination of the cervix at about 17 weeks. Methods: Longitudinal prospective study in 800 unselected pregnant women presenting for first-trimester ultrasound assessment by nuchal translucency and serum biochemistry. Cervical length was evaluated transvaginally between 11 weeks and 13 weeks and 6 days (cx1), at 16-19 weeks (cx2) and 20-24 weeks (cx3). Backward multiple logistic regression analysis with cx3 ≤ 15 mm as the dependent variable was used to identify the predictors of a short cervix at 20-24 weeks. Results: Cx1 and history of preterm delivery were significant independent contributors of a short cervix at 20-24 weeks [area under the curve (AUC 0.808, p < 0.001, Model) 1]. Furthermore, the cx1/cx2 ratio was a significant independent predictor of a short cervix at 20-24 weeks (odds ratio = 58.325 p = 0.012). The addition of the cx1/cx2 ratio improved the model (AUC = 0.878, p < 0.001, Model 2). +Conclusions: A short cervix at 20-24 weeks can be predicted at the 11-14 weeks scan. The addition of a cervical measurement at about 17 weeks can improve the prediction model. Copyright © 2011 John Wiley & Sons, Ltd. |
en |
heal.journalName |
Prenatal Diagnosis |
en |
dc.identifier.issue |
2 |
en |
dc.identifier.volume |
31 |
en |
dc.identifier.doi |
10.1002/pd.2683 |
en |
dc.identifier.spage |
202 |
en |
dc.identifier.epage |
206 |
en |