scholarly journals 309: Mid-trimester cervical consistency index compared to cervical length to predict spontaneous preterm birth in a high-risk population

2017 ◽  
Vol 216 (1) ◽  
pp. S189-S190
Author(s):  
Montse Palacio ◽  
Núria Baños ◽  
Carla Murillo ◽  
Carla Julià ◽  
Eduard Gratacós
Keyword(s):  
Preterm Birth ◽  
High Risk ◽  
Cervical Length ◽  
Consistency Index ◽  
High Risk Population ◽  
Spontaneous Preterm Birth ◽  
Risk Population

scholarly journals Mid-Trimester Cervical Consistency Index and Cervical Length to Predict Spontaneous Preterm Birth in a High-Risk Population

2018 ◽  
Vol 08 (01) ◽  
pp. e43-e50 ◽  
Author(s):  
Núria Baños ◽  
Carla Julià ◽  
Núria Lorente ◽  
Silvia Ferrero ◽  
Teresa Cobo ◽  
...  
Keyword(s):  
Preterm Birth ◽  
High Risk ◽  
Area Under The Curve ◽  
Cervical Length ◽  
Consistency Index ◽  
High Risk Population ◽  
Spontaneous Preterm Birth ◽  
Predictive Capacity ◽  
Increased Risk ◽  
Better Than

Background Short cervical length (CL) has not been shown to be adequate as a single predictor of spontaneous preterm birth (sPTB) in high-risk pregnancies. Objective The objective of this study was to evaluate the performance of the mid-trimester cervical consistency index (CCI) to predict sPTB in a cohort of high-risk pregnancies and to compare the results with those obtained with the CL. Study Design Prospective cohort study including high-risk singleton pregnancies between 19+0 and 24+6 weeks. The ratio between the anteroposterior diameter of the uterine cervix at maximum compression and at rest was calculated offline to obtain the CCI. Results Eighty-two high sPTB risk women were included. CCI (%) was significantly reduced in women who delivered <37+0 weeks compared with those who delivered at term, while CL was not. The area under the curve (AUC) of the CCI to predict sPTB <37+0 weeks was 0.73 (95% confidence interval [CI], 0.61–0.85), being 0.51 (95% CI, 0.35–0.67), p = 0.03 for CL. The AUC of the CCI to predict sPTB <34+0 weeks was 0.68 (95% CI, 0.54–0.82), being 0.49 (95% CI, 0.29–0.69), p = 0.06 for CL. Conclusion CCI performed better than sonographic CL to predict sPTB. Due to the limited predictive capacity of these two measurements, other tools are still needed to better identify women at increased risk.

scholarly journals LB 2: Early prediction of spontaneous preterm birth in a high-risk population using cfRNA profiling

2022 ◽  
Vol 226 (1) ◽  
pp. S779
Author(s):  
Joan Camunas-Soler ◽  
Elaine P. Gee ◽  
Mitsu Reddy ◽  
Jia Dai Mi ◽  
Morten Rasmussen ◽  
...  
Keyword(s):  
Preterm Birth ◽  
High Risk ◽  
High Risk Population ◽  
Early Prediction ◽  
Spontaneous Preterm Birth ◽  
Risk Population

Biomarkers and Cervical Length to Predict Spontaneous Preterm Birth in Asymptomatic High-Risk Women

2013 ◽  
Vol 122 (2, PART 1) ◽  
pp. 283-289 ◽  
Author(s):  
Jamie A. Bastek ◽  
Adi Hirshberg ◽  
Suchitra Chandrasekaran ◽  
Carter M. Owen ◽  
Laura M. Heiser ◽  
...  
Keyword(s):  
Preterm Birth ◽  
High Risk ◽  
Cervical Length ◽  
Spontaneous Preterm Birth ◽  
High Risk Women

scholarly journals Use of the Arabin pessary in women at high risk for preterm birth: long-term experience at a single tertiary center in Malaysia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rahana Abd Rahman ◽  
Ixora Kamisan Atan ◽  
Anizah Ali ◽  
Aida Mohd Kalok ◽  
Nor Azlin Mohamed Ismail ◽  
...  
Keyword(s):  
Preterm Birth ◽  
High Risk ◽  
Medical Center ◽  
Demographic Data ◽  
Cervical Length ◽  
Close Monitoring ◽  
Spontaneous Preterm Birth ◽  
Antenatal Corticosteroids ◽  
Cervical Surgery ◽  
Tertiary Center

Abstract Background Spontaneous preterm birth is a global issue that contributed to perinatal morbidities and mortalities worldwide. The study aimed to describe the experience at UKM Medical Center in managing women at high risk for spontaneous preterm birth using the Arabin pessary. Methods This is a retrospective observational study involving 58 pregnancies from 1st January 2013 to 31st December 2019. Inclusion criteria were previous mid-trimester miscarriage and/or preterm birth, previous cervical surgery or short cervical length on routine sonogram. The demographic data, characteristics of each pregnancy and details of outcomes and management were described. Results The majority of women were Malay with mean age and body mass index of 32.9 ± 4.2 years and 27.1 ± 6.3 kg/m2 respectively. The most frequent indications for Arabin pessary insertion were previous mid-trimester miscarriage (46.4%) and early preterm birth (17.2%). A total of 73.4% of these women had the pessary inserted electively at a mean cervical length of 31.6 ± 9.1 mm at median gestation of 15.0 weeks. They were managed as outpatient (56.9%), inpatient (24.1%) or mixed (19.0%) with combination of progestogen (81.0%) and 53.4% received antenatal corticosteroids. Spontaneous preterm birth at or more than 34 weeks gestation occurred in 74.1% with birthweight at or more than 2000 g (82.4%). Despite cervical funneling in 12 women (20.7%), 66.7% delivered at or later than 34 weeks gestation and 2 (16.7%) resulted in miscarriage. Conclusions Insertion of the Arabin pessary is beneficial to prevent spontaneous preterm birth in pregnant women who are at high risk. In particular, early insertion and close monitoring allows the best possible outcomes. Trial registration This study was retrospectively registered with ClinicalTrials.gov (NCT04638023) on 20/11/2020.

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