Transvaginal ultrasound cervical length for prediction of spontaneous labour at term : a systematic review and meta-analysis
© 2015 Royal College of Obstetricians and Gynaecologists..
BACKGROUND: The possibility to predict the delivery date is a question frequently raised by pregnant women. However, a clinician has currently little to predict when a woman at term will deliver.
OBJECTIVE: To evaluate the predictive accuracy of transvaginal ultrasound (TVU) cervical length (CL) for spontaneous onset of labour in singleton gestation enrolled at term by a meta-analysis.
SEARCH STRATEGY: We performed a literature search in electronic databases.
SELECTION CRITERIA: We included only studies assessing the accuracy of TVU CL in prediction of spontaneous onset of labour in singleton gestations with vertex presentation who were enrolled at term.
DATA COLLECTION AND ANALYSIS: The primary outcome was the accuracy of CL for prediction of spontaneous labour within 7 days. Pooled sensitivities and specificities were calculated.
MAIN RESULTS: Five studies including 735 singleton gestations were included. For the prediction of spontaneous labour within 7 days for CL <30 mm the pooled sensitivity was 64% and pooled specificity was 60%. The higher the CL, the better the sensitivity; the lower the CL, the better the specificity. A woman with a singleton gestation at term and a TVU CL of 30 mm has a <50% chance of delivering within 7 days, while one with a TVU CL of 10 mm has an over 85% chance of delivery within 7 days.
CONCLUSIONS: TVU CL at term has moderate value in predicting the onset of spontaneous labour. A woman with a TVU CL of 10 mm or less has a high chance of delivering within a week.
TWEETABLE ABSTRACT: Cervical length at term has moderate value in predicting the onset of spontaneous labour.
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2016 |
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| Erschienen: |
2016 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:123 |
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| Enthalten in: |
BJOG : an international journal of obstetrics and gynaecology - 123(2016), 1 vom: 03. Jan., Seite 16-22 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Saccone, G [VerfasserIn] |
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| Links: |
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| Themen: |
Cervical length |
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| Anmerkungen: |
Date Completed 12.05.2016 Date Revised 02.12.2018 published: Print-Electronic CommentIn: BMJ. 2015;351:h5742. - PMID 26511268 Citation Status MEDLINE |
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| doi: |
10.1111/1471-0528.13724 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM254075991 |
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| 500 | |a Date Revised 02.12.2018 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: BMJ. 2015;351:h5742. - PMID 26511268 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2015 Royal College of Obstetricians and Gynaecologists. | ||
| 520 | |a BACKGROUND: The possibility to predict the delivery date is a question frequently raised by pregnant women. However, a clinician has currently little to predict when a woman at term will deliver | ||
| 520 | |a OBJECTIVE: To evaluate the predictive accuracy of transvaginal ultrasound (TVU) cervical length (CL) for spontaneous onset of labour in singleton gestation enrolled at term by a meta-analysis | ||
| 520 | |a SEARCH STRATEGY: We performed a literature search in electronic databases | ||
| 520 | |a SELECTION CRITERIA: We included only studies assessing the accuracy of TVU CL in prediction of spontaneous onset of labour in singleton gestations with vertex presentation who were enrolled at term | ||
| 520 | |a DATA COLLECTION AND ANALYSIS: The primary outcome was the accuracy of CL for prediction of spontaneous labour within 7 days. Pooled sensitivities and specificities were calculated | ||
| 520 | |a MAIN RESULTS: Five studies including 735 singleton gestations were included. For the prediction of spontaneous labour within 7 days for CL <30 mm the pooled sensitivity was 64% and pooled specificity was 60%. The higher the CL, the better the sensitivity; the lower the CL, the better the specificity. A woman with a singleton gestation at term and a TVU CL of 30 mm has a <50% chance of delivering within 7 days, while one with a TVU CL of 10 mm has an over 85% chance of delivery within 7 days | ||
| 520 | |a CONCLUSIONS: TVU CL at term has moderate value in predicting the onset of spontaneous labour. A woman with a TVU CL of 10 mm or less has a high chance of delivering within a week | ||
| 520 | |a TWEETABLE ABSTRACT: Cervical length at term has moderate value in predicting the onset of spontaneous labour | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Meta-Analysis | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a Systematic Review | |
| 650 | 4 | |a Cervical length | |
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| 700 | 1 | |a Berghella, V |e verfasserin |4 aut | |
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