THE UTEROCERVICAL ANGLE AS AN ADDITIONAL ULTRASOUND MARKER FOR PREDICTION OF PRETERM BIRTH

Aim. The study was conducted to determine the informative significance of the uterocervical angle for prediction of preterm birth using the ultrasound cervicometry at 16-20 weeks of pregnancy.Materials and methods. 340 pregnant women aged 20-35 were examined at 16-20 weeks of pregnancy using the ult...

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Main Authors: O. V. Astaf'eva, I. V. Karyakina, E. A. Aslanyan, N. V. Micheeva
Format: Article
Language:Russian
Published: Ministry of Healthcare of the Russian Federation. “Kuban State Medical University” 2018-12-01
Series:Кубанский научный медицинский вестник
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Online Access:https://ksma.elpub.ru/jour/article/view/1474
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author O. V. Astaf'eva
I. V. Karyakina
E. A. Aslanyan
N. V. Micheeva
author_facet O. V. Astaf'eva
I. V. Karyakina
E. A. Aslanyan
N. V. Micheeva
author_sort O. V. Astaf'eva
collection DOAJ
description Aim. The study was conducted to determine the informative significance of the uterocervical angle for prediction of preterm birth using the ultrasound cervicometry at 16-20 weeks of pregnancy.Materials and methods. 340 pregnant women aged 20-35 were examined at 16-20 weeks of pregnancy using the ultrasound cervicometry and by measuring the uterocervical angle. The interrelation analysis of the pregnancy outcome (preterm birth or birth at term) was carried out depending on the cervical length and the uterocervical angle value at 16-20 weeks of pregnancy. Results. Preterm birth before 37 weeks occurred in 32 patients (9.4%). The average value of the uterocervical angle at 16-20 weeks was 104,2±0,9 degrees in case of preterm birth and 92,3±2,7 degrees in case of birth at term. While analyzing the interrelation of the uterocervical angle value and preterm birth, it was found that the frequency of preterm birth with the uterocervical angle of >105º was 81.2% and 16,9% in case of birth at term (OR 21,333 [CI 8,363-54,418], p<0,05).Conclusion. The uterocervical angle is a prognostically significant criterion for predicting preterm birth with the sensitivity of 81.3% and the specificity of 83.1%. The diagnostic effectiveness of the test was 83,1%.
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spelling doaj-art-c96e82ed8a2e4223aee761e36f42a7e72025-08-04T13:05:13ZrusMinistry of Healthcare of the Russian Federation. “Kuban State Medical University”Кубанский научный медицинский вестник1608-62282541-95442018-12-01256263110.25207/1608-6228-2018-25-6-26-311025THE UTEROCERVICAL ANGLE AS AN ADDITIONAL ULTRASOUND MARKER FOR PREDICTION OF PRETERM BIRTHO. V. Astaf'eva0I. V. Karyakina1E. A. Aslanyan2N. V. Micheeva3Federal State Budgetary Educational Institution of Higher Education Kuban State Medical University of the Ministry of Healthcare of the Russian Federation.Department of Radiation Diagnostics.The budgetary health care institution of the Municipal Education of the Dinskaya district Central District Hospital.Federal State Budgetary Educational Institution of Higher Education Kuban State Medical University of the Ministry of Healthcare of the Russian Federation.Department of Radiation Diagnostics.The budgetary health care institution of the Municipal Education of the Dinskaya district Central District Hospital.Aim. The study was conducted to determine the informative significance of the uterocervical angle for prediction of preterm birth using the ultrasound cervicometry at 16-20 weeks of pregnancy.Materials and methods. 340 pregnant women aged 20-35 were examined at 16-20 weeks of pregnancy using the ultrasound cervicometry and by measuring the uterocervical angle. The interrelation analysis of the pregnancy outcome (preterm birth or birth at term) was carried out depending on the cervical length and the uterocervical angle value at 16-20 weeks of pregnancy. Results. Preterm birth before 37 weeks occurred in 32 patients (9.4%). The average value of the uterocervical angle at 16-20 weeks was 104,2±0,9 degrees in case of preterm birth and 92,3±2,7 degrees in case of birth at term. While analyzing the interrelation of the uterocervical angle value and preterm birth, it was found that the frequency of preterm birth with the uterocervical angle of >105º was 81.2% and 16,9% in case of birth at term (OR 21,333 [CI 8,363-54,418], p<0,05).Conclusion. The uterocervical angle is a prognostically significant criterion for predicting preterm birth with the sensitivity of 81.3% and the specificity of 83.1%. The diagnostic effectiveness of the test was 83,1%.https://ksma.elpub.ru/jour/article/view/1474preterm birthcervical lengthuterocervical angletransvaginal ultrasound marker
spellingShingle O. V. Astaf'eva
I. V. Karyakina
E. A. Aslanyan
N. V. Micheeva
THE UTEROCERVICAL ANGLE AS AN ADDITIONAL ULTRASOUND MARKER FOR PREDICTION OF PRETERM BIRTH
Кубанский научный медицинский вестник
preterm birth
cervical length
uterocervical angle
transvaginal ultrasound marker
title THE UTEROCERVICAL ANGLE AS AN ADDITIONAL ULTRASOUND MARKER FOR PREDICTION OF PRETERM BIRTH
title_full THE UTEROCERVICAL ANGLE AS AN ADDITIONAL ULTRASOUND MARKER FOR PREDICTION OF PRETERM BIRTH
title_fullStr THE UTEROCERVICAL ANGLE AS AN ADDITIONAL ULTRASOUND MARKER FOR PREDICTION OF PRETERM BIRTH
title_full_unstemmed THE UTEROCERVICAL ANGLE AS AN ADDITIONAL ULTRASOUND MARKER FOR PREDICTION OF PRETERM BIRTH
title_short THE UTEROCERVICAL ANGLE AS AN ADDITIONAL ULTRASOUND MARKER FOR PREDICTION OF PRETERM BIRTH
title_sort uterocervical angle as an additional ultrasound marker for prediction of preterm birth
topic preterm birth
cervical length
uterocervical angle
transvaginal ultrasound marker
url https://ksma.elpub.ru/jour/article/view/1474
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