PREDICTING PRETERM LABOUR BY CERVICAL LENGTH MEASUREMENT

Dr. Gurcharan Kaur; Dr. Vinita Sarbhai

Volume : VI, Issue : V, May - 2016

PREDICTING PRETERM LABOUR BY CERVICAL LENGTH MEASUREMENT

Dr. Gurcharan Kaur, Dr. Vinita Sarbhai

Abstract :

Objective: To ascertain the role of cervical length measurement by TVS as a predictor for preterm labour. Methods: Routine Antenatal cases at 18–24 weeks of gestation were subjected to transvaginal ultrasound. The STUDY group consisted of 50 patients with cervical length being <25mm. The CONRTOL group consisted of 50 patients with cervical length being >25mm. Patients were followed up to observe the outcome of their pregnancies. Result: The positive and negative predictive value of cervical length <25mm was 50% and 86% respectively for delivery before 37 weeks. A relative risk of 15 and 3.75was observed for spontaneous preterm birth before 34 weeks and 37 weeks respectively. Babies born in study group had greater morbidities and greater mortality rates as compared to the control group. Conclusion: Measurement of cervical length aids in early detection of patients who are likely to go into preterm labour and identification of high–risk group.)