Read by QxMD icon Read

"cervical length"

Zeynep Asli Oskovi Kaplan, A Seval Ozgu-Erdinc
There is not a single or combined screening method for preterm birth with high sensitivity which will truly identify the women at risk for preterm birth while also with high specificity to prevent unnecessary interventions and high treatment costs. Measurement of cervical length is the most cost-effective method that is used in clinical practice. Bedside tests have also been developed for detecting markers like fetal fibronectin, insulin-like growth factor binding protein-1 (IGFBP-1), interleukin-6, and placental alpha-macroglobulin-1...
2018: Journal of Pregnancy
Przemyslaw Kosinski, Katarzyna Luterek, Dorota Bomba-Opon, Michal Lipa, Miroslaw Wielgos
OBJECTIVE: To evaluate the impact of cervical length and cervical pessary application in congenital diaphragmatic hernia (CDH) treated by the fetoscopic endotracheal occlusion (FETO) procedure. METHODS: The study group consisted of 80 patients with severe CDH treated by FETO. Cervical length measurement was performed by transvaginal ultrasound in all patients within the 24 h prior to the FETO procedure. The study group (n = 44) had cervical pessaries applied routinely within the 24 h following the FETO procedure, whereas the control group (n = 36) were not offered pessaries and only had cervical length measurement performed...
November 7, 2018: Fetal Diagnosis and Therapy
A Frega, M Santomauro, F Sesti, J Di Giuseppe, C Colombrino, R Marziani, A Catalano, M Pavone, C Leone, M Mallozzi, E D'Adamo, A Ciavattini, D Caserta
OBJECTIVE: In the last years, the mean age of women who underwent cervical treatment for high-grade cervical intraepithelial neoplasia (CIN 2-3) is similar to the age of women having their first pregnancy. The aim of this study was to evaluate the risk of preterm birth in subsequent pregnancies after loop electrosurgical excision procedure (LEEP). PATIENTS AND METHODS: From January 2013 to January 2016 the study identified a total of 1435 women, nulliparous, who underwent LEEP for CIN 2-3, and who wished to have their first pregnancy...
October 2018: European Review for Medical and Pharmacological Sciences
Ray O Bahado-Singh, Jiri Sonek, David McKenna, David Cool, Buket Aydas, Onur Turkoglu, Trent Bjorndahl, Rupasri Mandal, David Wishart, Perry Friedman, Stewart F Graham, Ali Yilmaz
OBJECTIVE: To evaluate the utility of Artificial Intelligence i.e. Deep Learning (DL) and other machine learning techniques for the prediction of important pregnancy outcomes in asymptomatic short cervical length (CL). METHOD: The amniotic fluid (AF) had been obtained from second trimester patients with asymptomatic women with short cervical length (<15 mm). CL, funneling and the presence of AF 'sludge' were assessed in all cases. Combined targeted metabolomic and proteomic analysis of amniotic fluid (AF) was performed...
October 31, 2018: Ultrasound in Obstetrics & Gynecology
Andreas Trotter, Ricarda Schreiber, Silvia Sander, Rainer Muche, Wolfram Lucke
BACKGROUND: The Federal Joint Committee of Germany defined structural and staff requirements for the care of preterm and term infants as a proxy measure for quality. Neonatal outcome has been evaluated as a quality marker for a long time. While Germany has one of the highest preterm birth rates in Europe, no data exist on centre-specific preterm birth rates. METHODS: Over 2 years, all pregnant women admitted to six centres for perinatal medicine in Baden-Württemberg at a gestational age between 22+0 and 31+6 weeks were eligible (n=2972)...
October 2018: Zeitschrift Für Geburtshilfe und Neonatologie
Thais da Fonseca Borghi, Mário Henrique Burlacchini de Carvalho, Antonio Gomes de Amorim Filho, Silvio Martinelli, Marcelo Zugaib, Rossana Pulcineli Vieira Francisco
OBJECTIVE: Cervical cerclage is the standard treatment for cervical incompetence (CI); however, there is still a high risk of preterm birth for women who undergo this treatment. The aim of this study was to longitudinally evaluate findings on two-dimensional transvaginal ultrasonography (2DTVUS) and three-dimensional transvaginal ultrasonography (3DTVUS) that could be related to gestational age at birth. METHODS: A total of 68 pregnant women who were treated with cerclage were evaluated by 2DTVUS and 3DTVUS in the second and third trimesters of pregnancy...
July 2018: Revista da Associação Médica Brasileira
N Vasudeva, C Reddington, M Bogdanska, L De Luca
One of the biggest obstetric challenges is the diagnosis and management of a short cervix as cervical length has an inverse relationship with risk of preterm birth. A cervical cerclage is a surgical procedure to reduce the risk of preterm birth and can be placed in an elective or emergency setting. This is a retrospective review of cervical cerclages inserted at an outer metropolitan hospital from February 2014 to May 2017. Since the introduction of the service, a total of 43 patients were identified as requiring a cervical cerclage...
2018: BioMed Research International
Vilma Johnsson, Roger Smith, Line Rode
This is a reply to the comment by Levin & Rottenstreich (1) on our recently published study Plasma progesterone, estradiol, and unconjugated estriol concentrations in twin pregnancies: Relation to cervical length and preterm delivery (2). We would like to thank the authors for showing interest in our research. Our study examined the association between plasma hormone concentrations, cervical length and preterm delivery in twin pregnancies. We also investigated the effect of vaginal progesterone treatment on plasma hormone concentrations...
October 22, 2018: Acta Obstetricia et Gynecologica Scandinavica
Liang Wang
Serial cervical length (CL) measurement in mid-trimester is recommended in post-conization pregnancy to estimate the risk of spontaneous preterm birth (SPTB). A short mid-trimester cervix (CL < 25 mm) has been considered as a strong predictor for SPTB. However, the low incidence of short cervix limits the utility of mid-trimester CL measurement in prediction of SPTB. A great proportion of women who develop SPTB don't have a short mid-trimester cervix. Therefore, this study was aimed to investigate the additional value of serial CL measurement in predicting SPTB in addition to detecting short cervix alone...
October 17, 2018: Scientific Reports
Yves Ville, Patrick Rozenberg
Cervical length (CL) measured by transvaginal ultrasound examination (TVUE) best identifies the risk for preterm birth (PTB). It identifies women at risk who can benefit from corticosteroids or in utero transfer. Early screening improves effectiveness of tocolysis. It reduces iatrogenicity and cost. In preterm premature rupture of membranes (PPROM), CL is devoid of infectious risk and predicts duration of the latency phase but not the risk of perinatal sepsis. Asymptomatic women at risk should be screened at a 2-week interval starting from 16 to 18 weeks, up to 24 weeks...
July 7, 2018: Best Practice & Research. Clinical Obstetrics & Gynaecology
Federico Migliorelli, Núria Baños, Martina Aida Angeles, Claudia Rueda, Laura Salazar, Eduard Gratacós, Montse Palacio
OBJECTIVE: To develop a model combining clinical and sonographic features to predict the risk of cesarean delivery after the induction of labor (IOL). METHODS: We designed a prospective observational study involving women admitted for IOL. The main outcome was defined as cesarean delivery due to failed IOL or arrest of labor. Several clinical and ultrasonographic variables were collected. Seventy percent of the sample was used to build the predictive model, using stepwise logistic regression, while the remaining sample was used for validation...
October 5, 2018: Fetal Diagnosis and Therapy
Katsufumi Otsuki, Ikuno Kawabata, Yoshio Matsuda, Akihito Nakai, Norio Shinozuka, Yasuo Makino, Yoshimasa Kamei, Mitsutoshi Iwashita, Takashi Okai
AIM: To assess the preventive effect on preterm birth of intravaginal ulinastatin (urinary trypsin inhibitor; UTI) administration during the mid-trimester in women with singleton pregnancy and both cervical shortening and lower genital infections. METHODS: Pregnant women with a short cervical length < 25 mm between 16 and 26 weeks of gestation and who had been diagnosed with a lower genital infection were randomly assigned for intravaginal UTI administration or placebo...
September 11, 2018: Journal of Obstetrics and Gynaecology Research
Ali Alhousseini, Salam Zeineddine, Adham Alsamsam, Bernard Gonik, Jacques Abramowicz, Karoline Puder, Homam Saker, Edgar Hernandez-Andrade
Introduction: Incarcerated uterus is a rare complication of pregnancy, usually associated with retroversion. Case: A 26-year-old woman presents at 19 4/7 weeks for evaluation of a short cervix and placenta previa. On ultrasound scan, the placenta was considered previa and the cervix was not visualized. The cervix was not identified by pelvic examination and the presumptive diagnosis of short cervix was done. The patient was followed up closely and remained asymptomatic...
2018: Case Reports in Obstetrics and Gynecology
Ahmet Eser, Enis Ozkaya
BACKGROUND: A wide uterocervical angle >95° detected during the second trimester was associated with an increased risk for spontaneous preterm birth. OBJECTIVE: We aimed to determine whether an ultrasonographic marker, uterocervical angle, correlates with satisfactory response to labor induction. STUDY DESIGN: We conducted a prospective cohort study from May 2016 through December 2017 of singleton term gestations undergoing transvaginal ultrasound for cervical length screening and uterocervical angle measurement...
September 25, 2018: Journal of Maternal-fetal & Neonatal Medicine
Tanja Nikolova, Jukka Uotila, Natasha Nikolova, Vyacheslav M Bolotskikh, Vera Y Borisova, Gian Carlo di Renzo
BACKGROUND: Placental alpha microglobulin-1 (PAMG-1) and phosphorylated insulin-like growth factor-binding protein-1 (phIGFBP-1) have been studied in patients at risk for preterm birth with signs and symptoms of preterm labor. However, a direct comparison between these two biomarkers, alone or in combination with cervical length measurement with an adequate sample size, has been lacking to date. OBJECTIVE: To compare PAMG-1 test and the phIGFBP-1-1 test alone and in combination with cervical length measurement for the prediction of imminent spontaneous preterm birth of testing in pregnant women with symptoms of preterm labor in a tertiary care setting...
September 18, 2018: American Journal of Obstetrics and Gynecology
Yaniv Zipori, Roy Lauterbach, Emad Matanes, Ron Beloosesky, Zeev Weiner, Amir Weissman
INTRODUCTION: We aimed to determine whether daily vaginal progesterone use for the prevention of preterm birth has an effect on the incidence of abnormal glucose challenge test or gestational diabetes. STUDY DESIGN: A retrospective study in a large referral center. Women with cervical length ≤ 25 mm were given 200 mg vaginal micronized progesterone capsules daily at bed time until 36 weeks` gestation or delivery. Each progesterone-treated woman was matched randomly with three untreated controls...
September 11, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Klara Rosta, Johannes Ott, Fanni Kelemen, Wilhelm Temsch, Tobias Lahner, Theresa Reischer, Hanns Helmer, Aniko Somogyi
PURPOSE: To determine the incidence of gestational diabetes mellitus (GDM) in pregnant women who received vaginal progesterone due to short cervical length or to prevent recurrent preterm birth. METHODS: In this retrospective study, we included 190 women with singleton pregnancies at risk for preterm birth who received vaginal natural progesterone (200 mg daily between gestational weeks 16 + 0 and 36 + 0) for a minimum of 4 weeks and delivered > 28 weeks...
September 17, 2018: Archives of Gynecology and Obstetrics
Vilma L Johnsson, Nina G Pedersen, Katharina Worda, Elisabeth Krampl-Bettelheim, Lillian Skibsted, Stefan Hinterberger, Isolde Strobl, Maria E Bowman, Roger Smith, Ann Tabor, Line Rode
INTRODUCTION: The aim was to examine the association between plasma hormone concentrations, cervical length, and preterm delivery in twin pregnancies, including the effect of progesterone treatment. MATERIAL AND METHODS: This study included 191 women pregnant with twins from a randomized placebo-controlled trial. A baseline blood sample was collected at 18-24 weeks before treatment with vaginal progesterone (n = 95) or placebo pessaries (n = 96), and 167 (87...
September 15, 2018: Acta Obstetricia et Gynecologica Scandinavica
Andrea Gascón, Maria Goya, Manel Mendoza, Anna Garcia, Teresa Higueras, Inés Calero, Mayte Avilés, Mª Angeles Sánchez, Elisa Llurba, Luis Cabero, Elena Carreras
OBJECTIVES: To determine intraobserver and interobserver variability in the measurement of different cervical length (CL) components at the first trimester (endocervical canal and isthmus), describe the optimum measurement method (single line or two lines) and establish a normality curve of first trimester CL in our population. METHODS: Women who attended the first-trimester US scan, between 11.0 and 13.6 weeks of gestation at Vall d'Hebron Universitary Hospital, Barcelona, Spain were included...
September 9, 2018: Journal of Maternal-fetal & Neonatal Medicine
Ladina Rüegg, Margaret Hüsler, Franziska Krähenmann, Giancarlo Natalucci, Roland Zimmermann, Nicole Ochsenbein-Kölble
PURPOSE: Twin-to-twin transfusion syndrome (TTTS) complicates 10-15% of all monochorionic twin pregnancies. Selective laser coagulation of placental anastomoses is the only causal therapy. The aim of this study was to analyze the neonatal survival, the survival rate of at least one child at 6 months of age, and maternal outcome after laser therapy in a Swiss cohort. MATERIAL AND METHODS: Between 2008 and 2014, 39 women were treated with fetoscopic laser procedure due to TTTS...
September 10, 2018: Journal of Maternal-fetal & Neonatal Medicine
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"