Mid-trimester residual cervical length and the risk of preterm birth in pregnancies after abdominal radical trachelectomy : a retrospective analysis
© 2017 Royal College of Obstetricians and Gynaecologists..
OBJECTIVE: To investigate the association between mid-trimester residual cervical length (CL) and the risk of preterm birth in pregnancies after abdominal radical trachelectomy (RT).
DESIGN: Retrospective cohort study.
SETTING: University hospital.
POPULATION: A total of 33 deliveries after 22 weeks' gestation in 30 women who underwent abdominal RT including prophylactic cervical cerclage and perinatal care between January 2002 and May 2016.
METHODS: The association between mid-trimester residual CL (the distance between the cerclage and the external cervical os) and gestational age at delivery was investigated. Receiver-operating characteristics (ROC) curve analysis was performed to estimate the optimal cut-off values of the mid-trimester residual CL for the prediction of preterm birth.
MAIN OUTCOME MEASURES: Preterm birth before 34 weeks' gestation.
RESULTS: Mid-trimester residual CL showed a significant correlation with gestational age at delivery (r = 0.36, P < 0.05). There was a significant difference in residual CL between women who did and those who did not give birth before 34 weeks (P < 0.05). Mid-trimester residual CL < 13 mm was a good predictor of birth before 34 weeks, with a sensitivity of 67%, specificity of 75%, positive predictive value of 55% and negative predictive value of 86% (area under ROC curve, 0.75).
CONCLUSIONS: Mid-trimester residual CL is significantly correlated with gestational age at delivery. Residual CL assessment could be used to reassure physicians and women that there is only a small chance of preterm birth in pregnancies after abdominal RT.
TWEETABLE ABSTRACT: Mid-trimester residual cervical length is a good predictor of preterm birth after radical trachelectomy.
| Errataetall: | |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2017 |
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| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:124 |
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| Enthalten in: |
BJOG : an international journal of obstetrics and gynaecology - 124(2017), 11 vom: 19. Okt., Seite 1729-1735 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Kasuga, Y [VerfasserIn] |
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| Links: |
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| Themen: |
Abdominal radical trachelectomy |
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| Anmerkungen: |
Date Completed 13.12.2018 Date Revised 10.03.2022 published: Print-Electronic CommentIn: BJOG. 2017 Oct;124(11):1737. - PMID 28481433 Citation Status MEDLINE |
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| doi: |
10.1111/1471-0528.14688 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM271054670 |
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| 100 | 1 | |a Kasuga, Y |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Mid-trimester residual cervical length and the risk of preterm birth in pregnancies after abdominal radical trachelectomy |b a retrospective analysis |
| 264 | 1 | |c 2017 | |
| 336 | |a Text |b txt |2 rdacontent | ||
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| 500 | |a Date Completed 13.12.2018 | ||
| 500 | |a Date Revised 10.03.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: BJOG. 2017 Oct;124(11):1737. - PMID 28481433 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2017 Royal College of Obstetricians and Gynaecologists. | ||
| 520 | |a OBJECTIVE: To investigate the association between mid-trimester residual cervical length (CL) and the risk of preterm birth in pregnancies after abdominal radical trachelectomy (RT) | ||
| 520 | |a DESIGN: Retrospective cohort study | ||
| 520 | |a SETTING: University hospital | ||
| 520 | |a POPULATION: A total of 33 deliveries after 22 weeks' gestation in 30 women who underwent abdominal RT including prophylactic cervical cerclage and perinatal care between January 2002 and May 2016 | ||
| 520 | |a METHODS: The association between mid-trimester residual CL (the distance between the cerclage and the external cervical os) and gestational age at delivery was investigated. Receiver-operating characteristics (ROC) curve analysis was performed to estimate the optimal cut-off values of the mid-trimester residual CL for the prediction of preterm birth | ||
| 520 | |a MAIN OUTCOME MEASURES: Preterm birth before 34 weeks' gestation | ||
| 520 | |a RESULTS: Mid-trimester residual CL showed a significant correlation with gestational age at delivery (r = 0.36, P < 0.05). There was a significant difference in residual CL between women who did and those who did not give birth before 34 weeks (P < 0.05). Mid-trimester residual CL < 13 mm was a good predictor of birth before 34 weeks, with a sensitivity of 67%, specificity of 75%, positive predictive value of 55% and negative predictive value of 86% (area under ROC curve, 0.75) | ||
| 520 | |a CONCLUSIONS: Mid-trimester residual CL is significantly correlated with gestational age at delivery. Residual CL assessment could be used to reassure physicians and women that there is only a small chance of preterm birth in pregnancies after abdominal RT | ||
| 520 | |a TWEETABLE ABSTRACT: Mid-trimester residual cervical length is a good predictor of preterm birth after radical trachelectomy | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Abdominal radical trachelectomy | |
| 650 | 4 | |a cervix | |
| 650 | 4 | |a length | |
| 650 | 4 | |a preterm birth | |
| 650 | 4 | |a transvaginal | |
| 700 | 1 | |a Miyakoshi, K |e verfasserin |4 aut | |
| 700 | 1 | |a Nishio, H |e verfasserin |4 aut | |
| 700 | 1 | |a Akiba, Y |e verfasserin |4 aut | |
| 700 | 1 | |a Otani, T |e verfasserin |4 aut | |
| 700 | 1 | |a Fukutake, M |e verfasserin |4 aut | |
| 700 | 1 | |a Ikenoue, S |e verfasserin |4 aut | |
| 700 | 1 | |a Ochiai, D |e verfasserin |4 aut | |
| 700 | 1 | |a Matsumoto, T |e verfasserin |4 aut | |
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| 700 | 1 | |a Aoki, D |e verfasserin |4 aut | |
| 700 | 1 | |a Tanaka, M |e verfasserin |4 aut | |
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