Evaluation of Cervical Gland Area as Sonographic Predictor of Preterm Labor | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2023, Issue 1, January 2023 | ||||
| DOI: 10.58675/2682-339X.2075 | ||||
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| Authors | ||||
| Abdel Moneim Mohamed Zakaria; Yasser Mohamed Said Kamel Diab; Mohamed Hisham Salah Ahmed Aboul Fotouh | ||||
| Department of Obstetrics and Gynecology, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt. | ||||
| Abstract | ||||
| Background: Cervical assessment is a principal part of the prediction of PTL. The majority of tests assess cervical length and funnelling. The diminution in cervical length is an essential PTL criterion. The cervical gland area (CGA) is a unique ultrasonographic predictor of preterm birth. Collagen and proteoglycans are modified by the maturation of the cervical mucosa. Collagen disorganization, decreased collagen concentration & amplified water content are hallmarks of the development of the cervix. CGA vanishes from ultrasound imaging as a result of metabolic and water changes. In the second trimester, the absence of these glands can signify cervical maturity and preterm birth. Aim: The purpose was to research to assess the link among the lack of cervical gland area in ultrasonography & risk of preterm delivery. Subject and Methods: The research took place at AL- HUSSIEN University Hospital's Obstetrics and Gynecology division. A total of 100 expectant mothers participated in the study. Results: The cervical length of the group without CGA was considerably shorter than the cervical length of the group with CGA. While Prevalence of preterm was significantly higher. Cervical length was significantly lower in preterm group matched to term group, while funneling was significantly higher. Cervical length and CGA were showed to be significant markers of preterm delivery. Conclusion: According to our findings, there is a strong correlation among the lack of CGA between weeks 14 and 28, and SPTL among weeks 35 and 37 of pregnancy. Further study is needed to confirm whether or not an absence of CGA is a major predictor of PTL. | ||||
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