Ultrasonographic study of cervical parameters in primigravidas and its relation with pregnancy outcome
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2017, Vol 4, Issue 4
Abstract
Introduction: The diagnosis of cervical incompetence is often retrospective. It has become one of the obstetric challenges because of the lack of uniform prospective diagnostic criteria. Ultrasonography is an invaluable aid in the diagnosis of cervical incompetence as it is safe and noninvasive. The present study focused on changes in cervical parameters and relationship of cervical parameters with pregnancy outcome. Materials and Method: Total 160 cases - primigravidas were studied for the ultrasonographic parameters of cervix during the study period. Institutional Ethical committee approval was taken before beginning of the study. Patient were subjected to ultrasonographic study between 14 to 22 weeks for the first time, then serial ultrasonography was done monthly mainly for cervical parameters and if required, cervical encerclage was done. Result: The incidence of cervical incompetence found in the present study was 1.25%. Mean cervical length was 3.49±0.53cm and mean diameter of internal os was 3.75 ±1.5mm. Shorter the cervical length, lesser is the gestational age at the time of delivery. Conclusion: We conclude that, cervical length and diameter of internal OS are very important cervical parameters for the cervical incompetence.
Authors and Affiliations
Meena Shantanu Gunjotikar, Karande Suryaprakash J
Keywords
Related Articles
- EP ID EP315376
- DOI 10.18231/2394-2754.2017.0097
- Views 82
- Downloads 0
Impact of gestational diabetes mellitus on maternal & fetal outcome
Background: Women with GDM are at increased risk for adverse obstetric and perinatal outcome. Hence, it is imperative that an early detection and management of the disease is done to ensure better maternal and fetal outc...
A Study of Ectopic pregnancy in a Tertiary Care Teaching Hospital
Aims and Objectives: To study the incidence, risk factors, clinical presentations and sites of Ectopic pregnancy among the patients attending to department of Obstetrics and Gynecology, Government General Hospital, Anant...
Exteriorization of uterus before placental expulsion and intra-myometrial oxytocin versus in situ repair and IV oxytocin during LSCS – A comparative study
Introduction: A suitable modification of any step of caesarean section to reduce blood-loss should be considered as the morbidity and mortality of CS is mostly associated with excessive hemorrhage. Aim: This is a compara...
Study of prevalence and risk factors associated with carcinoma cervix
Introduction: As per GLOBCAN 2012, cervical cancer is a huge wellbeing issue for women with roughly 5,28,000 cases and 2,66,000 deaths reported annually worldwide. Globally, cervical cancer includes 12% of all cancers in...
Maternal and fetal outcome of placenta previa in a tertiary care institute: a prospective two year study
Introduction: Placenta previa (PP) is an important cause of maternal and fetal morbidity and mortality worldwide but there is not much data from the developing countries about maternal and fetal outcome1. Aim: To determi...