dc.contributor.author | Korkmaz N. | |
dc.contributor.author | Kiyak H. | |
dc.contributor.author | Bolluk G. | |
dc.contributor.author | Bafali O. | |
dc.contributor.author | Ince O. | |
dc.contributor.author | Gedikbasi A. | |
dc.date.accessioned | 2024-02-04T13:30:12Z | |
dc.date.available | 2024-02-04T13:30:12Z | |
dc.date.issued | 2024 | |
dc.identifier.issn | 13418076 | |
dc.identifier.uri | https://doi.org/10.1111/jog.15823 | |
dc.identifier.uri | http://hdl.handle.net/11446/4865 | |
dc.description.abstract | Objectives: The aim of this study was to evaluate the relationship between the cervix and the threat of preterm labor in singleton pregnancies between gestational weeks less than 37 and greater than 37 weeks in correlation with utero-cervical angle (UCA) and cervical length (CL) measurements. Materials and Methods: We conducted a prospective cohort study with UCA and CL measurements in patients with threatened preterm labor (TPL). Primary outcome was differences in UCA and CL measurements in relationship to maternal characteristics and perinatal outcome between groups. Secondary outcome evaluated measurement results and influencing factors for delivery within 7 days, between 1 and 4 weeks and beyond 4 weeks. Results: Overall 152 patients were divided into as study/preterm group (<37 weeks; n = 56) and the control/term group (?37 weeks; n = 96). Mean gestational age at admission was similar in both groups (30.98 ± 2.83 vs. 30.36 ± 2.63 weeks, p = 0.149) with similar CL (33.9 ± 6.34 vs. 32.02 ± 8.88 mm, p = 0.132), but wider UCA in the preterm group (81.65 ± 16.81° vs. 99.21 ± 22.33°, p < 0.001). Multivariate logistic regression analysis for preterm delivery was significant for nulliparity and UCA measurement. The factor for delivering before 37 gestational weeks within 7 days was the gestational week at admission (p = 0.046). UCA and CL measurements were statistically significant for distinguishing patients for delivery within 7 days and beyond 4 weeks (p = 0.001 for CL and p = 0.0001 for UCA). NPV was found 92.5, 92.2, and 92.3 for UCA >105°, CL ?30 mm, and Bishop score >3, respectively. Conclusion: Combined measurement of TV UCA and CL represents stronger predictors for sPTB ultrasonographically, demonstrating the uterocervical sub-segment maturation before the active onset of labor. © 2023 The Authors. Journal of Obstetrics and Gynaecology Research published by John Wiley & Sons Australia, Ltd on behalf of Japan Society of Obstetrics and Gynecology. | en_US |
dc.description.sponsorship | TPL and sPTB are the end stages of induction initiated by uterine contractility. The diversity of medical causes for TPL and sPTB have been led to the classification of etiological factors and facilitated an understanding of related interventions. Therefore, the mechanisms responsible for TPL and sPTB are complex. The uterine cervix consists of a matrix of collagen fibers and is supported by the cardinal and uterosacral ligaments. The cervix has a dual function during pregnancy. Specifically, the cervix undergoes pressure from adjacent pelvic organs and tolerates forces from the increase in uterine size. This combination of physiological pressures and the individual anatomy of the gravida affects the internal os and cervical tissue. 8 9,10 10,11 | en_US |
dc.language.iso | eng | en_US |
dc.publisher | John Wiley and Sons Inc | en_US |
dc.relation.ispartof | Journal of Obstetrics and Gynaecology Research | en_US |
dc.identifier.doi | 10.1111/jog.15823 | |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | cervical length | en_US |
dc.subject | threatened preterm labor | en_US |
dc.subject | utero-cervical angle | en_US |
dc.subject | adult | en_US |
dc.subject | Article | en_US |
dc.subject | case control study | en_US |
dc.subject | cervical length | en_US |
dc.subject | clinical feature | en_US |
dc.subject | cohort analysis | en_US |
dc.subject | controlled study | en_US |
dc.subject | female | en_US |
dc.subject | female genital tract parameters | en_US |
dc.subject | gestational age | en_US |
dc.subject | hospital admission | en_US |
dc.subject | human | en_US |
dc.subject | major clinical study | en_US |
dc.subject | perinatal period | en_US |
dc.subject | premature labor | en_US |
dc.subject | prospective study | en_US |
dc.subject | risk factor | en_US |
dc.subject | utero cervical angle | en_US |
dc.subject | cervical length measurement | en_US |
dc.subject | diagnostic imaging | en_US |
dc.subject | newborn | en_US |
dc.subject | pregnancy | en_US |
dc.subject | prematurity | en_US |
dc.subject | procedures | en_US |
dc.subject | uterine cervix | en_US |
dc.subject | uterus | en_US |
dc.subject | Cervical Length Measurement | en_US |
dc.subject | Cervix Uteri | en_US |
dc.subject | Female | en_US |
dc.subject | Humans | en_US |
dc.subject | Infant, Newborn | en_US |
dc.subject | Obstetric Labor, Premature | en_US |
dc.subject | Pregnancy | en_US |
dc.subject | Premature Birth | en_US |
dc.subject | Prospective Studies | en_US |
dc.subject | Uterus | en_US |
dc.title | Assessment of utero-cervical angle and cervical length as predictors for threatened preterm delivery in singleton pregnancies | en_US |
dc.type | article | en_US |
dc.department | DBÜ | en_US |
dc.identifier.issue | 1 | en_US |
dc.identifier.volume | 50 | en_US |
dc.identifier.startpage | 65 | en_US |
dc.identifier.endpage | 74 | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.department-temp | Korkmaz, N., Department of Gynecology and Obstetrics, Demiroglu Bilim University Istanbul, Turkey; Kiyak, H., Department of Gynecology and Obstetrics, University of Health Sciences, Istanbul Sariyer Hamidiye Etfal Health Practice and Research Center Istanbul, Turkey; Bolluk, G., Department of Gynecology and Obstetrics, University of Health Sciences, Istanbul Basaksehir Cam and Sakura Health Practice and Research Center Istanbul, Turkey; Bafali, O., Department of Gynecology and Obstetrics, University of Health Sciences, Istanbul Sultangazi Haseki Health Practice and Research Center Istanbul, Turkey; Ince, O., Department of Perinatology, Akdeniz University Medicine Faculty Antalya, Turkey; Gedikbasi, A., Special Clinic Fulya Terrace Center Istanbul, Turkey | en_US |
dc.identifier.pmid | 37903492 | en_US |
dc.identifier.scopus | 2-s2.0-85175372229 | en_US |
dc.authorscopusid | 57193670912 | |
dc.authorscopusid | 56496639700 | |
dc.authorscopusid | 7801424377 | |
dc.authorscopusid | 57189621208 | |
dc.authorscopusid | 58674112500 | |
dc.authorscopusid | 6504230683 | |