Prediction of latency period in patients with PPROM by cervical measurements using Transvaginal Ultrasound; A Prospective cohort study
Sweed, A., Taema, M., Akkour, K., Khaliq, S. (2023). Prediction of latency period in patients with PPROM by cervical measurements using Transvaginal Ultrasound; A Prospective cohort study. EKB Journal Management System, 27(3), 47-53. doi: 10.21608/egyfs.2023.303259
Amr Sobhy Sweed; Mohamed I Taema; Khalid Akkour; Shahida Khaliq. "Prediction of latency period in patients with PPROM by cervical measurements using Transvaginal Ultrasound; A Prospective cohort study". EKB Journal Management System, 27, 3, 2023, 47-53. doi: 10.21608/egyfs.2023.303259
Sweed, A., Taema, M., Akkour, K., Khaliq, S. (2023). 'Prediction of latency period in patients with PPROM by cervical measurements using Transvaginal Ultrasound; A Prospective cohort study', EKB Journal Management System, 27(3), pp. 47-53. doi: 10.21608/egyfs.2023.303259
Sweed, A., Taema, M., Akkour, K., Khaliq, S. Prediction of latency period in patients with PPROM by cervical measurements using Transvaginal Ultrasound; A Prospective cohort study. EKB Journal Management System, 2023; 27(3): 47-53. doi: 10.21608/egyfs.2023.303259

Prediction of latency period in patients with PPROM by cervical measurements using Transvaginal Ultrasound; A Prospective cohort study

The Egyptian Journal of Fertility and Sterility
Article 6, Volume 27, Issue 3 - Serial Number 11106352, May 2023, Page 47-53  XML PDF (2.12 MB)
Document Type: Original Article
DOI: 10.21608/egyfs.2023.303259
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Authors
Amr Sobhy Sweed email 1, 2; Mohamed I Taema3; Khalid Akkour4; Shahida Khaliq4
1Lecturer of Obstetrics and Gynecology Faculty of medicine, Ain Shams University, Cairo-Egypt
2Consultant obstetrics and gynecology, Madinah National hospital , Madinah al Munawara - Saudia Arabia
3Department of obstetrics and gynecology, Ain shams university. Cairo Egypt
4Department OB/GYN, Faculty of medicine, King Saud University, Riyadh, KSA
Abstract
Background: Preterm premature rupture of membranes (PPROM) is a main cause of Preterm Labor (PTL) which is the most major cause of perinatal morbidity and mortality. Measurements of angle between cervix and uterus may play a role in prediction of PTL.
Aim of the Work: To assess the accuracy of cervical length, posterior and anterior cervical angles to predict the latency in PPROM.
Design: A cohort Prospective study on 150 patients with PPROM was done in 2 private hospitals in KSA.
Methods : patients with PPROM had underwent a transvaginal ultrasound examination to measure cervical length (CxL), posterior and anterior uterocervical angle.
Results: The latency period was within 2 days in 42 patients (28%) while was after 2 days in 108 patients (72%) of cases. The cervical length (CxL) cut-off value was 26.0 mm, while the sensitivity and specificity were (79.7% and 67.4% respectively), The Cut off value of posterior uterocervical angle (PCA) was 109.0˚ while the sensitivity and specificity were (94.0% and 62.3% respectively), The Cut off value of anterior uterocervical angle (ACA) was 107.0˚ while the sensitivity and specificity were (94.0% and 73.4% respectively).
Conclusion: The combination of the length of Cervix (CxL), PCA and ACA values can predict the latency period in patients with PPROM
Keywords
latency period; PPROM; length of the cervix; ACA; PCA
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