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The Effect of Cervical Length Measurement on Pregnancy Outcomes in Mothers with Labor Pain at a Gestational Age of Less than 34 Weeks
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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: (60 Views) |
Background and Objective: Preterm birth before 34 weeks of gestation is associated with significant neonatal morbidity and mortality. Cervical length measurement is a valuable tool for predicting preterm birth, allowing for timely interventions to improve outcomes. The aim of this study was to evaluate the clinical outcomes of women suspected of preterm birth and cervical length ≤30.
Methods: This cross-sectional study was conducted on 189 pregnant women with gestational age ≤34 weeks who were admitted to Imam Khomeini Hospital, Ahvaz, in 2022. Demographic and clinical data including cervical length, birth weight, mean duration of maternal and neonatal hospitalization, and neonatal complications were extracted from medical records and analyzed.
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 of the infants was 2875.50±49.585 g. RDS was observed in 16.9% of the infants and the mean duration of NICU stay was 4.89±2.17 days and the maximum was 30 days. The mean duration of maternal hospitalization was 3.3±3.04 days and the mean duration of hospitalization until delivery was 38.69±3.01 days. The mean gestational age at delivery was 36.5 weeks. The neonatal mortality was 2.6%, and complications occurred in 9% of the mothers (the most common neonatal complications were fetal growth restriction (21.2%) and postpartum infection in 4.2%). The most infants (97.9%) had Apgar scores more than 7 at five minutes.
Conclusion: According to the results of this study, cervical length measurement effectively predicts outcomes in cases of suspected preterm delivery. |
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| Keywords: Preterm Labor, Cervix, Maternal Morbidity, Neonatal Morbidity. |
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Type of Study: Research |
Subject:
Obstetrics and Gynecology
Received: 2024/07/22 | Accepted: 2024/10/23
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