Comparison of Transabdominal and Transvaginal Sonograms in Evaluation of Cervical Length During Pregnancy

Objective: A short cervix during pregnancy indicates a higher risk of preterm delivery. Transvaginal sonography is widely used for the detection of a short cervix. The literature indicates that 21–24 weeks is the most sensitive gestational age to assess transvaginal cervical length (TV CL) of ≤2.5 c...

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Veröffentlicht in:Journal of Diagnostic Medical Sonography 2021-09, Vol.37 (5), p.466-471
Hauptverfasser: Fitzpatrick, Anna, DiGiacinto, Dora
Format: Artikel
Sprache:eng
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Zusammenfassung:Objective: A short cervix during pregnancy indicates a higher risk of preterm delivery. Transvaginal sonography is widely used for the detection of a short cervix. The literature indicates that 21–24 weeks is the most sensitive gestational age to assess transvaginal cervical length (TV CL) of ≤2.5 cm for potential preterm delivery. Pregnancies between 18 and 20 weeks’ gestation are generally performed transabdominally; thus, it could be beneficial to have a recognized correlation between the transabdominal cervical length (TA CL) measurement and the TV CL measurement at this earlier time period. Materials and Methods: An online database search produced 13 research articles to be reviewed. Inclusion criteria consisted of TA CL and TV CL assessment of singleton pregnancies with intact membranes. Results: Findings indicate high diagnostic yield when a TA CL of
ISSN:8756-4793
1552-5430
DOI:10.1177/87564793211012612