PREDICTION OF RISK FOR PRETERM DELIVERY BY ULTRASONOGRAPHIC MEASUREMENT OF CERVICAL LENGTH AT HASAN SADIKIN HOSPITAL

Budi Handono
Jusuf S. Effendi

American Journal of Research Communication

ABSTRACT

Objective: To predict preterm delivery with accurate assessment of cervical length by transvaginal ultrasonography.

Design: Descriptive observational.

Methods: All patients who admitted with preterm labor and fullfilled the inclusion criteria were studied using transvaginal ultrasonography for cervical length measurement since January until December 2001. The relation between the length of cervix and the period of preterm delivery were evaluated.

Results: During the study period, there were 33 cases consisted mostly with primigravida. The mean of age was 25 (± 5) years old and the mean of gestational age was 32.8 (± 2.5) weeks. The mean of cervical length with funnelling was 2.25 (± 0.58) cm and without funnelling was 2.37 (± 0.54) cm. The overall mean of cervical length was 2.25 (± 0.55) cm. On this cervical length, there were 8 cases delivered equal or less than 7 days and 25 cases delivered more than 7 days.

The cut off point of cervical length was less than 2 cm for preterm delivery equal or less than 7 days. A highly significant correlation was shown between length of delivery with cervical length and gestational age. Length of delivery increased as the cervical length got longer. Whereas, length of delivery decreased with the increasing of gestational age. The mean of length of delivery was 20.6 days for the mean of gestational age 32.8 weeks and cervical length 2.25 cm.

Conclusion: Cervical length has good positive correlation with the length of delivery.

Keywords: Preterm delivery, cervix, transvaginal
{Citation: Budi Handono, Jusuf S. Effendi. Prediction of risk for preterm delivery by ultrasonographic measurement of cervical length at Hasan Sadikin Hospital. American Journal of Research Communication, 2015, 3(3): 1-7} www.usa-journals.com, ISSN: 2325-4076.

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