The Relation between Cervical Length and Maternal Outcome in Placenta Previa | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2024, Issue 12, December 2024 | ||||
| DOI: 10.58675/2682-339X.2817 | ||||
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| Authors | ||||
| Samia Abdel hakim; Doaa Effat; Samar Younes | ||||
| Obstetrics and Gynecology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Placenta previa (PP) is an obstetric condition that provides significant complications throughout pregnancy and remains a primary contributor to maternal mortality and morbidity. Objective: To evaluate the relationship between cervical length (CL) and obstetrical outcome in women with placenta previa (PP). Patients and methods: This study was prospective observational research carried out on fifty women diagnosed with placenta previa. Result: Our study shows that there was a statistically significant enhancement in the occurrence of APH, PROM, and PTL in group 1(CL≤ 30 mm) vs. group 11 (CL >30 mm) p-value 0.028, 0.023, 0.008, respectively. Significant increase in the amount of blood loss, no of blood transfusion units, placental adherence, B-Lynch, uterine artery ligation, and Internal iliac artery ligation. Cesarean hysterectomy, and total hospital stay in group I vs. group II. (p-value < .001). In predicting adverse maternal outcomes, the Best cutoff point of cervical length to predict APH was < 2.46 mm, with sensitivity (84.8%), specificity (76.5%) and accuracy (80.8%), PTL was < 2.68 mm, with sensitivity (85.2%), specificity (78.3%) and accuracy (81.8%), Placental adherence was < 2.59mm, with sensitivity (80%), specificity (95.6%) and accuracy (88.2%). Predict PROM was < 2.57 mm, with sensitivity (88.2%), specificity (78.6%), and accuracy (84.2%). Conclusion: Shorter cervical length (CL) increases maternal morbidities like APH, PTL, PROM, placental adherence, intraoperative blood loss, and cesarean hysterectomy. Cervical length assessment aids in management, decision-making, and timely interventions for placenta previa cases. | ||||
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