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The Effect of Cervical Length Measurement on Pregnancy Outcomes in Women Experiencing Labor Pain before 34 Weeks of Gestation
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N Shahbazian    , A Afifi * , R Mohamadjafari , F Moramezi |
| 2.Department of Obstetrics and Gynecology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, I.R.Iran. , Drafifiasyeh@gmail.com |
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Abstract: (303 Views) |
Background and Objective: Preterm labor before 34 weeks of gestation is associated with significant neonatal morbidity and mortality. Cervical length measurement is a valuable tool for predicting preterm labor, allowing for timely interventions to improve pregnancy outcomes. The present study was conducted to evaluate the clinical outcomes of women at risk for preterm labor who had a cervical length ≤30 mm.
Methods: This cross-sectional study was conducted among 189 pregnant women at gestational age ≤34 weeks who were admitted to Imam Khomeini Hospital in Ahvaz in 2023 and were at risk for preterm labor. Demographic and clinical information including cervical length, birth weight, mean length of stay for mother and infant, and neonatal complications were extracted from the medical records and examined.
Findings: The mean cervical length was 31.47±8.68 mm and the mean maternal weight was 71.46±14.22 kg. The mean birth weight was 2875.50±585.49 g. RDS was observed in 16.9% of the infants, the mean NICU stay was 4.89±2.17 days, and the maximum length of stay was 30 days. The mean maternal length of stay was 3.3±3.04 days and the mean length of stay before delivery was 38.69±3.01 days. The mean gestational age at delivery was 36.5 weeks. The neonatal mortality was 2.6% and obstetric complications were 9% (fetal growth restriction was 21.2% and postpartum infection was 4.2%). Most infants (97.9%) had five-minute Apgar scores greater than 7.
Conclusion: According to the results of this study, measuring cervical length effectively predicts outcomes in women at risk for preterm labor. |
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| Keywords: Preterm Labor, Cervix, Maternal Complications, Neonatal Complications. |
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Full-Text [PDF 278 kb]
(49 Downloads)
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Type of Study: Research |
Subject:
Obstetrics and Gynecology
Received: 2024/07/22 | Accepted: 2024/10/23 | Published: 2025/12/14
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