Study of Cervical Length Measurement by Transvaginal Sonography in Prediction of Mode of Delivery at Term
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 4
Abstract
To evaluate the predictive accuracy of transvaginal ultrasound cervical length measurement for prediction of mode of delivery at term. 140 singleton low risk primigravida with term gestation cephalic presentation were enrolled in the study. TVU CL at 37 weeks was measured. Women who went into spontaneous onset of labour were followed up till delivery. Women who did not go into spontaneous labour till 40 +6weeks were induced with prostaglandins and progress of labour monitored. The primary outcome measured was mode of delivery delivery at term and its association with TVU CL at 37 weeks’gestation. Out of the total 140 patients enrolled in our study, 93 patients had TVU CL at 37 wks at or below 3 cm. Among these, 91 (97.84%) had vaginal deliveries and only 2 (2.16%) had caesarean sections. Whereas, 47 patients had TVU CL at 37 wks above 3 cm. Among them, 26 (55.32%) had vaginal deliveries and 21 (44.68%) had caesarean sections. According to outcome of the cases vaginal delivered cases were more compared to LSCS (97.84% v/s 2.16%) when cervical length at 37 wks is ≤3 cm. p-value was significant which was <0.05.
Authors and Affiliations
Isha Gambhir, KP Banerjee, Lata Rajoriya, Reena Pant
Keywords
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