Trans-Vaginal Cervical Length and Amniotic Fluid Index in Prediction of Delivery Latency Following Preterm Pre-Labor Rupture of Membranes
Morsy, F., Sammor, H., Eid Sweed, M., Mohamed Sadek, A. (2025). Trans-Vaginal Cervical Length and Amniotic Fluid Index in Prediction of Delivery Latency Following Preterm Pre-Labor Rupture of Membranes. EKB Journal Management System, 29(1), 14-24. doi: 10.21608/egyfs.2025.409766
Fatima Ossama Fetouh Mohamed Morsy; Hazem Mohamed Sammor; Mohamed Samir Eid Sweed; Ahmed Mohamed Abbas Mohamed Sadek. "Trans-Vaginal Cervical Length and Amniotic Fluid Index in Prediction of Delivery Latency Following Preterm Pre-Labor Rupture of Membranes". EKB Journal Management System, 29, 1, 2025, 14-24. doi: 10.21608/egyfs.2025.409766
Morsy, F., Sammor, H., Eid Sweed, M., Mohamed Sadek, A. (2025). 'Trans-Vaginal Cervical Length and Amniotic Fluid Index in Prediction of Delivery Latency Following Preterm Pre-Labor Rupture of Membranes', EKB Journal Management System, 29(1), pp. 14-24. doi: 10.21608/egyfs.2025.409766
Morsy, F., Sammor, H., Eid Sweed, M., Mohamed Sadek, A. Trans-Vaginal Cervical Length and Amniotic Fluid Index in Prediction of Delivery Latency Following Preterm Pre-Labor Rupture of Membranes. EKB Journal Management System, 2025; 29(1): 14-24. doi: 10.21608/egyfs.2025.409766

Trans-Vaginal Cervical Length and Amniotic Fluid Index in Prediction of Delivery Latency Following Preterm Pre-Labor Rupture of Membranes

The Egyptian Journal of Fertility and Sterility
Volume 29, Issue 1 - Serial Number 11106352, January 2025, Pages 14-24    PDF (409.48 K)
Document Type: Original Article
DOI: 10.21608/egyfs.2025.409766
Authors
Fatima Ossama Fetouh Mohamed Morsy* 1; Hazem Mohamed Sammor1; Mohamed Samir Eid Sweed1, 2; Ahmed Mohamed Abbas Mohamed Sadek1
1Department of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
2Department of Obstetrics and Gynecology, Faculty of Medicine, Badr University, Cairo, Egypt
Abstract
Background: After premature pre-labor rupture of membranes (PPROM), it is challenging to forecast with precision the time to delivery (latency). Predicting delivery delay may be useful in determining when to recommend hospitalization, close observation, prenatal steroid use, and magnesium sulfate for neuroprotection. In women who report with preterm pre-labor rupture of membranes (PPROM), our goal is to ascertain if transvaginal cervical length (TVCL), amniotic fluid index (AFI), or a combination of both can predict delivery latency.   
Methods: 70 pregnant women presented with PPROM between the gestational age of 28 weeks and 36 weeks +6 days were enrolled. Transvaginal ultrasound measurement of cervical length and amniotic fluid index was performed within 24 hours of admission , to assess  number of women reached latency period of 7 days or more and assess other maternal and fetal parameters as number of women reached 36 +6 weeks, mode of delivery, development of chorioamnionitis, gestational age at PPROM and delivery, birthweight at delivery, presence of neonatal sepsis, Apgar score at 1 and 5 minutes and need for NICU admission and indication.    
Results: The best sensitivity of TVCL in prediction of delivery latency was 100 % at TVCL>3 cm in women with AFI >5 cm. On the other hand, the best specificity was 80.5% at TVCL>3 cm in women with AFI ≤5 cm.
Conclusion: When a woman presents with preterm pre-labor rupture of the membranes, it is recommended to employ either transvaginal cervical length, amniotic fluid index, or both to forecast delivery delay. 

Keywords
Key words: Cervical Length; Amniotic Fluid Index; Delivery Latency; PPROM
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