Relationship between Uterocervical Angle and Prediction of Spontaneous Preterm Birth
Makled, A., Abuelghar, W., Shabaan, M., KAMEL, O. (2021). Relationship between Uterocervical Angle and Prediction of Spontaneous Preterm Birth. EKB Journal Management System, 11(3), 256-263. doi: 10.21608/ebwhj.2021.83000.1145
AHMED Makled; Wessam Abuelghar; Mohamed Shabaan; OSAMA KAMEL. "Relationship between Uterocervical Angle and Prediction of Spontaneous Preterm Birth". EKB Journal Management System, 11, 3, 2021, 256-263. doi: 10.21608/ebwhj.2021.83000.1145
Makled, A., Abuelghar, W., Shabaan, M., KAMEL, O. (2021). 'Relationship between Uterocervical Angle and Prediction of Spontaneous Preterm Birth', EKB Journal Management System, 11(3), pp. 256-263. doi: 10.21608/ebwhj.2021.83000.1145
Makled, A., Abuelghar, W., Shabaan, M., KAMEL, O. Relationship between Uterocervical Angle and Prediction of Spontaneous Preterm Birth. EKB Journal Management System, 2021; 11(3): 256-263. doi: 10.21608/ebwhj.2021.83000.1145

Relationship between Uterocervical Angle and Prediction of Spontaneous Preterm Birth

Evidence Based Women's Health Journal
Article 8, Volume 11, Issue 3, August 2021, Page 256-263  XML PDF (1.26 MB)
Document Type: Original Article
DOI: 10.21608/ebwhj.2021.83000.1145
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Authors
AHMED Makled1; Wessam Abuelghar1; Mohamed Shabaan email 2; OSAMA KAMEL3
1Obstetrics and gynecology Faculty of Medicine- Ain Shams University
2Obstetrics and gynecology Ain shams university Cairo Egypt
3Department of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University
Abstract
Aim: This study aimed to determine whether a novel ultrasonographic marker, uterocervical angle, correlates with risk of spontaneous preterm birth.
Materials and Methods: In the present prospective, cohort, study, we included 197 singleton pregnant women at Ain shams university maternity hospital (outpatient obstetrics clinics and emergency department. The mean age of the included women was 27.2 ± 4.8 years while the mean party was 2.2 ±1.3. The mean BMI was 33.4 ± 2.6Kg/m2.
Results: In the present study, we found that there were statistically significant differences between both groups in terms of history of preterm labor (p <0.001) and tobacco smoking (p =0.008). Smokers and women with history of PTB had higher risk of PTB. In our report, there were statistically significant differences between both groups in terms of neonatal mortality. With regard to the primary outcome of the present study, we found that there was statistically significant difference between women with spontaneous preterm labor and women with term deliveries regarding UCA (p =0.015). Mean UCA in the second trimester was wider in the preterm group compared with the control group. The UCA was a significant discriminator of preterm labor. At cut-off value of ≥ 105, the GP37 yielded a sensitivity of 86.7% and specificity of 89% for the discrimination between preterm and term deliveries.
Conclusion: Wider UCA in the second trimester is related to spontaneous PTB. UCA measurement is a reproducible technique. UCA appears to increase from the first to the second trimester.
Keywords
Spontaneous preterm birth; ultrasound; uterocervical angle
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