Skip Navigation

This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF ) Freely available
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (10)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Maymon, R.
Right arrow Articles by Sherman, D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Maymon, R.
Right arrow Articles by Sherman, D.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Human Reproduction, Vol. 16, No. 5, 956-960, May 2001
© 2001 European Society of Human Reproduction and Embryology

Transvaginal sonographic assessment of cervical length changes during triplet gestation

R. Maymon1,3, A. Herman1, E. Jauniaux2, J. Frenkel1, S. Ariely1 and D. Sherman1

1 Department of Obstetrics and Gynecology, Assaf Harofe Medical Center, Zerifin 70300 (affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv), Israel and 2 Academic Department of Obstetrics and Gynaecology, Royal Free and University College, UCL Campus, London, UK

The current study aimed to evaluate the contribution of transvaginal sonography (TVS) for monitoring cervical changes during the second half of triplet gestation. Forty-five pregnant women with triplets pregnancies were prospectively scanned by TVS from ~26 weeks gestation and were longitudinally followed-up until delivery. Based on a receiver-operating curve it was found that a cervical length of 25 mm is the most accurate parameter (94% sensitivity and 45% specificity) for predicting premature delivery <=33 gestational weeks. Thus, a single cervical length measurement of <=25 mm at 26 weeks gestation correlated well with premature delivery at <=33 weeks ({chi}2; P = 0.002). Using the linear regression model, a mathematical equation [(Week of delivery = 27.4 + 1.6xcervical length; R2 = 0.46; P = 0.01)] for predicting the gestational age of delivery (dependent variable) was determined based on mid-gestation cervical measurements (predictors). In parturient women with triplet gestation, TVS assessment of the uterine cervix offers insight into the cervical status and provides valuable information for prenatal care. This includes both monitoring the cervical changes throughout third trimester as well as predicting the likelihood of premature delivery.

Key words: cervical length/premature delivery/transvaginal sonography/triplet pregnancy

3 To whom correspondence should be addressed. E-mail: intposgr{at}post.tau.ac.il


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 J Ultrasound MedHome page
S. Maslovitz, J. Hartoov, I. Wolman, A. Jaffa, J. B. Lessing, and G. Fait
Cervical Length in the Early Second Trimester for Detection of Triplet Pregnancies at Risk for Preterm Birth
J. Ultrasound Med., September 1, 2004; 23(9): 1187 - 1191.
[Abstract] [Full Text] [PDF]

Home page
 Hum ReprodHome page
N. Prapas, Y. Prapas, Y. Panagiotidis, S. Prapa, P. Vanderzwalmen, and G. Makedos
Cervical dilatation has a positive impact on the outcome of IVF in randomly assigned cases having two previous difficult embryo transfers
Hum. Reprod., August 1, 2004; 19(8): 1791 - 1795.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.