Can myometrial thickness/cervical length ratio predict preterm delivery in singleton pregnancies with threatened preterm labor? A prospective study

dc.authoridKorkmaz, Selçuk/0000-0003-4632-6850;
dc.authorwosidKorkmaz, Selçuk/AAU-4677-2020
dc.authorwosidSAYIN, N. CENK/A-5801-2018
dc.contributor.authorErzincan, Selen Gursoy
dc.contributor.authorSayin, N. Cenk
dc.contributor.authorKorkmaz, Selcuk
dc.contributor.authorSutcu, Havva
dc.contributor.authorInan, Cihan
dc.contributor.authorCilingir, Isil Uzun
dc.contributor.authorVarol, Fusun G.
dc.date.accessioned2024-06-12T11:16:18Z
dc.date.available2024-06-12T11:16:18Z
dc.date.issued2019
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjectiveTo investigate whether myometrial thickness (MT) to cervical length (CL) ratio could be used in the prediction of preterm birth (PTB) in singleton pregnancies presented with threatened preterm labor (TPL).MethodsAfter 48h of successful tocolysis, MT was measured transabdominally from the fundal, mid-anterior walls and the lower uterine segment (LUS) in 46 pregnancies presented with TPL. MT measurements were divided into CL, individually. The main outcome was PTB before 37weeks of gestation.ResultsThe patients were divided into two groups as women delivered37weeks (38.681.01weeks) (n=25) and those delivered<37weeks (34.28 +/- 2.53weeks) (n=21). The mean +/- SD CL in the preterm delivery group was significantly shorter than the term delivery group (23.77 +/- 9.23 vs 29.91 +/- 7.03mm, p<0.05). Fundal, mid-anterior or LUS MT values were similar in both groups. However, in those who delivered preterm, the ratios of fundal MT-to-CL (p=0.026) and mid-anterior MT-to-CL (p=0.0085) were significantly different compared to those delivered at term. The optimal cutoff values for CL, fundal MT-to-CL and mid-anterior MT-to-CL ratios in predicting PTB were calculated as 31.1mm, 0.19 and 0.20, respectively. Fundal MT-to-CL ratio predicted preterm delivery with 71% sensitivity, 72% specificity, 68% positive and 75% negative predictive values. For mid-anterior MT-to-CL ratio, respective values were 76, 76, 73 and 79%.Conclusion p id=Par4 Measurement of MT along with CL may offer a promising method in the management of women presented with TPL.en_US
dc.identifier.doi10.1007/s00404-019-05109-9
dc.identifier.endpage1282en_US
dc.identifier.issn0932-0067
dc.identifier.issn1432-0711
dc.identifier.issue5en_US
dc.identifier.pmid30874948en_US
dc.identifier.scopus2-s2.0-85062942056en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1275en_US
dc.identifier.urihttps://doi.org/10.1007/s00404-019-05109-9
dc.identifier.urihttps://hdl.handle.net/20.500.14551/24276
dc.identifier.volume299en_US
dc.identifier.wosWOS:000468500000007en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofArchives Of Gynecology And Obstetricsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectThreatened Preterm Laboren_US
dc.subjectPreterm Deliveryen_US
dc.subjectCervical Lengthen_US
dc.subjectMyometrial Thicknessen_US
dc.subjectPlacental Alpha Microglobulin-1en_US
dc.subjectCervical Lengthen_US
dc.subjectFetal Fibronectinen_US
dc.subjectTransvaginal Ultrasounden_US
dc.subjectWomenen_US
dc.titleCan myometrial thickness/cervical length ratio predict preterm delivery in singleton pregnancies with threatened preterm labor? A prospective studyen_US
dc.typeArticleen_US

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