COMPARISON OF TVS CERVICAL LENGTH AND CERVICAL ELASTOGRAPHY IN PREDICTING SPONTANEOUS PRETERM LABOUR

Dr.Ayesha Master; Dr.Chella Hariharan Iyer; Dr.Deepti Shrivastava; Dr.Sanjivani Wanjari

Volume : VIII, Issue : II, February - 2019

COMPARISON OF TVS CERVICAL LENGTH AND CERVICAL ELASTOGRAPHY IN PREDICTING SPONTANEOUS PRETERM LABOUR

Dr. Ayesha Master, Dr. Chella Hariharan Iyer, Dr. Deepti Shrivastava, Dr. Sanjivani Wanjari

Abstract :

Objectives : To determine whether there is an association between a �soft� cervix identified by cervical strain elastography between 18 to 22 weeks of gestation and spontaneous onset of preterm labour. Materials and methods: This is a prospective observational study conducted on 246 randomly selected women. Cervical length and Elastographic starin was performed by TVS in a single sitting between 18-22 weeks of gestation. Spontaneous preterm delivery (sPTD<37 weeks) in women with soft cervix was noted and compared to women with or without a short cervix. Results: 16/20 women who had sPTD<37 weeks had a �Soft cervix� (red + yellow) on elastography. 4/20 women who had sPTD<37 weeks had a short cervix (≤2.5cm). Sensitivity of elastography in predicting sPTD was 80% and sprcificity was 78.76%.