EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , 

 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

PREDICTION OF SPONTANEOUS PRETERM BIRTH BY CERVICAL LENGTH MEASUREMENT

Dr. Anju Vijayan, *Dr. Beenakumari R. and Dr. Kala B. S.

ABSTRACT

Introduction: Spontaneous preterm birth is a global problem leading to significant perinatal morbidity and mortality. Cervical length measurement is one of the methods of prediction of preterm birth. Materials & Methods: This prospective observational study was conducted at Department of Obstetrics & Gynecology, Government Medical College, Kottayam, Kerala for 18 months from March 2018. 400 uncomplicated primigravid patients were included. Cervical length was measured at 11-14 weeks and at 20 weeks of gestation. Reduction in cervical length between these two gestations were noted. Patients were grouped into cervical length reduction of < 1 cm and ≥ 1 cm. Gestational age at delivery was observed. Results: The mean age of the study group was 27.26 years. The rate of spontaneous preterm birth was 21 %.The mean cervical length at 11 – 14 weeks was 3.88 cm and that at 20 weeks was 3. 46 cm. Cervical length at 20 weeks and a reduction of cervical length of ≥ 1 cm from 11 – 14 weeks were significantly associated with spontaneous preterm birth. Using receiver operative characteristic (ROC) curve analysis at 20 weeks, a cervical length reduction cut off value > 0.6 cm had a specificity of 80.7% and sensitivity of 44.05% in prediction of spontaneous preterm birth. Conclusion: The cervical length measurement at 11 – 14 weeks and 20 weeks along with routine obstetric ultrasound can help in identification of patients at risk for spontaneous preterm birth.

Keywords: Preterm birth; Pregnancy; Cervical length.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )