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Gynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics, Vol. 17 No. 3, 2008.

Professional paper

ULTRASOUND EVALUTATION OF CERVIX LENGTH BY TRANSPERINEAL AND TRANSVAGINAL ROUTE IN THE SECOND AND THIRD TRIMESTER OF PREGNANCY

Gordana Horvat orcid id orcid.org/0000-0002-4118-3865 ; Klinika za ginekologiju i porodništvo, Opća bolnica Sveti Duh, Zagreb
Renato Bauman ; Klinika za ginekologiju i porodništvo, Opća bolnica Sveti Duh, Zagreb
Lovorka Vidović ; Poliklinika »Sunce«, Zagreb
Boris Ujević ; Klinika za ginekologiju i porodništvo, Opća bolnica Sveti Duh, Zagreb
Berivoj Mišković ; Klinika za ginekologiju i porodništvo, Opća bolnica Sveti Duh, Zagreb

Full text: croatian pdf 123 Kb

page 169-172

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Abstract

Objective. Our primary objective was to evaluate efficacy of transperineal ultrasound in assessment of cervical length in second and third trimester of pregnancy. Additionally, we wanted to compare transperineal and endovaginal approach for this purpose. Methods. One hundred patients with singleton pregnancy and without cervical insufficiency, premature membrane rupture or preterm birth in previous pregnancies were examined. Cervical length has been assessed by both transperineal and endovaginal ultrasound examination. Results. By using a transperineal approach, we measured an average cervical length of 37,41 mm, with 95-percent confidence intervals (CI) of 35,89 and 38,93 mm and standard deviation (SD) of 7,66 mm. In comparison, an endovaginal cervical measurement produced average cervix length of 37,80 mm, (CIs were 36,34 and 39,26 mm and SD was 7,35 mm). Statistical testing by Student’s t-test resulted in p-value of 0,681, thus marking results as being statistically non significantly different. Conclusion. Transperineal ultrasono¬graphic imaging of the cervix is comparable to endovaginal measurement in second and third trimester and is satisfactory alternative to an endovaginal assessment especially in patients that object to endovaginal exam. This approach is especially useful when endovaginal assessment should be avoided as in premature membrane rupture or vaginal bleeding of unknown cause.

Keywords

cervix length; ultrasound transvaginal; ultrasound transperineal

Hrčak ID:

62194

URI

https://hrcak.srce.hr/62194

Publication date:

1.9.2008.

Article data in other languages: croatian

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