Vaginal fluid PH versus cervical length as a predictor of preterm labor in second trimester of pregnancy . | ||||
| Al-Azhar International Medical Journal | ||||
| Article 9, Volume 1, Issue 4 - Serial Number 14, April 2020, Page 60-64 PDF (589.67 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/aimj.2020.23982.1145 | ||||
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| Author | ||||
ibrahim ahmed elsayed 
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| Department of Obstetrics and Gynecology - Faculty of Medicine, Al-Azhar | ||||
| Abstract | ||||
| Background: Preterm birth is a major cause of death and a significant cause of long-term loss of human potential amongst survivors all around the world. Complications of preterm birth are the single largest direct cause of neonatal deaths. Aim of work: is to evaluate and compare the diagnostic value of vaginal pH and cervical length measurement in the second trimester of pregnancy as a preterm labor predictor. Patients and methods: This prospective analytical study was done on a cohort of 100 selected pregnant women who were fulfilled the inclusion criteria in their antenatal visits at Al-Husien university hospital. Patients coming for routine antenatal care between 18 and 24 weeks gestations were enrolled in the study. Results: The results showed that the minimum cervical length measured was 2.1 (Cm) and the maximum was 4.4 (Cm). The mean cervical length was 3.71 ± 0.64(Cm). The minimum vaginal pH was 3.5 and the maximum pH was 5.5. The mean vaginal pH was 4.7 ± 0.6. The statistical analysis found that there is significance correlation between the cervical length and preterm labor. Also, cervical length had better predictive parameters than vaginal pH. Conclusion: This comes to conclusion that the measuring cervical length by trans vaginal ultrasound has a better predictive value for preterm labor than measuring vaginal pH in the second trimester of pregnancy. Keywords: Vaginal fluid PH, Cervical length, Predictor of preterm labor, Second trimester of pregnancy | ||||
| Keywords | ||||
| Vaginal fluid PH, Cervical length; Predictor of preterm labor; Second trimester of pregnancy | ||||
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