Prediction of Cervical Factor in Recurrent Pregnancy Loss by Transvaginal Sonography
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 9
Abstract
Abstract: This study was carried out to predict the cervical causes for recurrent pregnancy loss by transvaginal scan which in turn prevents fetal loss. This study was done in Government Maternity Hospital, Sultan Bazar, Hyderabad, during the period of June 2012 to May 2014. 60 pregnant women at high risk for preterm delivery were recruited into the study. After taking informed consent, they were followed up till delivery and the results were analyzed. Study group was divided into two groups depending on cervix length, internal os diameter and funnelling of cervix. Use of transvaginal sonographic study of cervix between 14-26 weeks combined with good obstetric history and proper clinical examination (vaginal examination) aided with appropriate treatment options like McDonald’s encerclage increases fetal salvage rates to 87.5%. A properly performed transvaginal sonography with correct interpretation is the gold standard in the assessment of patients with cervical factor causing recurrent pregnancy loss. Accuracy of transvaginal sonography in our study is as follows: Sensitivity of about 97.36%; specificity of 86.36%; positive predictive value of 92.5%; negative predictive value of 95%; percentage of false positive cases is 13.63% and percentage of false negative cases is 2.63%.. Keywords: cervical incompetence, transvaginal sonography, recurrent pregnancy loss, McDonald’s encerclage.
Authors and Affiliations
P Sreedevi
Keywords
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