Assessment of Cervical Volume at 19–22 Weeks for Predicting a Prolonged Pregnancy

JOURNAL TITLE: Donald School Journal of Ultrasound in Obstetrics and Gynecology

Author
1. Juan Luis Alcázar
2. Nabil Manzour
3. Itsaso Areta
4. Enrique Chacon
5. Isabel Brotons
6. Isabel Carriles
ISSN
0973-614X
DOI
10.5005/jp-journals-10009-1592
Volume
13
Issue
3
Publishing Year
2019
Pages
4
Author Affiliations
    1. Department of Obstetrics and Gynecology, Clinica Universidad de Navarra, School of Medicine, Pamplona, Spain
    1. Department of Obstetrics and Gynecology, Clinica Universidad de Navarra, School of Medicine, Pamplona, Spain
    1. Department of Obstetrics and Gynecology, Clinica Universidad de Navarra, School of Medicine, Pamplona, Spain
    1. Department of Obstetrics and Gynecology, Clinica Universidad de Navarra, School of Medicine, Pamplona, Spain
    1. Department of Obstetrics and Gynecology, Clinica Universidad de Navarra, School of Medicine, Pamplona, Spain
    1. Department of Obstetrics and Gynecology, Clínica Universitaria de Navarra, School of Medicine University of Navarra, Pamplona 31008, Spain
  • Article keywords
    Cervical length, Cervical volume, Post-term, Pregnancy, Volume

    Abstract

    Objective: To determine whether the transvaginal ultrasonographic measurement of the cervical volume at 19–22 weeks could predict a post-term pregnancy. Materials and methods: This work involves a retrospective case–control study comprising 44 women who delivered beyond 41 weeks and 87 women who delivered at term (37–40 + 6 weeks), matched by age and parity. All of them had undergone cervical length measurement and cervical volume estimation at 19–22 weeks. Results: Patients’ median of age was 35 years in term gestations and 34.5 years in prolonged pregnancies (p = 0.313). The mean of gestational age during delivery in the term gestation group was 275.41 days vs 289.34 days on prolonged gestations (p < 0.001). We did not observe differences in the mean cervical volume between term delivery (37.37 cm3, 95% CI: 34.59–40.14) and those who had post-term delivery (38.06 cm3, 95% CI: 33.34–42.77) (p = 0.788). In addition, we did not find differences in the median cervical length (39.0 mm vs 37.0 mm) (p = 0.610). Conclusion: It seems that there is no relationship between the cervical volume measured in the ultrasound of 20-week gestation and the prolongation of pregnancy beyond week 41.

    © 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved