Kenji Horie, Kayo Takahashi, Makiko Mieno, Shiho Nagayama, Hiroaki Aoki, Takeshi Nagamatsu, Ayumi Kanatani, Hironobu Hyodo, Kayoko Terada, Masako Hayashi, Akihito Nakai, Noriko Yoneda, Shigeru Saito, Yoshio Matsuda, Shigeki Matsubara, Akihide Ohkuchi
OBJECTIVE: To compare the risk of spontaneous preterm birth (SPTB) before 35 weeks in symptomatic and asymptomatic women with cervical shortening at 16-34 weeks under mid-trimester universal screening of cervical length (CL). METHOD: Multicenter retrospective cohort study involving six secondary/tertiary perinatal centers was planned in 2016. Primary outcomes were SPTB before 35 weeks. In all, 407 women were analyzed using multivariable logistic regression analysis for predicting SPTB before 35 weeks while adjusting for presence/absence of uterine contraction, gestational weeks, vaginal bleeding, and CL classification (1-9, 10-14, 15-19, and 20-24 mm) at admission, the execution of cervical cerclage, and the presence/absence of past history of preterm delivery...
June 2023: International Journal of Gynaecology and Obstetrics