Write your message
Volume 6, Issue 4 (Fall 2021)                   J Obstet Gynecol Cancer Res 2021, 6(4): 181-187 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rezaie keikhaie K, Rezaie Kahkha L, Shahraki Z, Esbati S, Afshari M, Kamali A, et al . Accuracy of the Anterior Uterocervical Angle in Predicting the Transvaginal Cerclage Failure to Prevent Spontaneous Preterm Birth Relative to the Cervical Length in Sonography. J Obstet Gynecol Cancer Res 2021; 6 (4) :181-187
URL: http://jogcr.com/article-1-358-en.html
1- Department of , Zabol Medicinal Plants Research Center, Zabol University of Medical Sciences, Zabol, Iran
2- Department of , Zabol University of Medical Sciences, Zabol, Iran
3- Department of Obstetrics and Gynecology, School of Medicine, Zabol University of Medical Sciences, Zabol, Iran
4- Department of Obstetrics and Gynecology, Faculty of Medicine, Zabol University of Medical Sciences, Zabol, Iran
5- Pediatric Gastroenterology and Hepatology Research Center, Zabol University of Medical Sciences, Zabol, Iran
6- Zabol Medicinal Plants Research Center, Zabol University of Medical Sciences, Zabol, Iran
7- Maternal, fetal and Neonatal Research Center, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran
8- Department of Endocrinology and Female Infertility, Reproductive Biomedicine -Research Center, ACECR, Royan Institute, Tehran, Iran , moshfeghimaryam@yahoo.com
Abstract:   (821 Views)

Background & Objective: Spontaneous preterm birth (SPB) occurs in about 10 to 12 percentage of pregnancies and causes many complications and mortality during pregnancy periods (1). The aim of this study was to determine the evaluation of uterocervical angle compared to cervical length as a sonographic method in predicting preterm delivery for patients who were undergoing the transvaginal cerclage.
Materials & Methods: The present study was performed on 91 pregnant women who were candidates for cerclage in 2019-2020. In this study, about 16.48 percentage of births were preterm and 27.47 percentage were post-term. During the study, routine cervical evaluation was performed by post-cerclage ultrasound and transvaginal ultrasound was performed in all patients one week after cerclage. Additional evaluation with transvaginal ultrasound was performed at intervals determined by the treating physicians with final ultrasound evaluation of the cervix up to 28 weeks of gestation. Finally, the obtained data were entered into SPSS 22 and statistically analyzed using t-test, Chi-square and Fisher's exact test.
Results: The results of the present study showed that considering the existing thresholds (95 and 105) for the anterior uterosacral angle and the threshold 25 for the cervical length index, all these indices were included 100% sensitive.
Conclusion: This sensitivity in the case of UCA higher than 95°C was about 80%, but the disadvantage of these indicators was their low specificity, so that these indicators were different ranging from 30% in the case of (UCA 105) to 7.15% in the case of (UCA 95).

Full-Text [PDF 408 kb]   (414 Downloads) |   |   Full-Text (HTML)  (278 Views)  
Systematic Review: Original Research | Subject: Obstetrics and Gynecology
Received: 2021/03/11 | Accepted: 2021/05/18 | Published: 2021/08/11

1. Johnson N, Bromham DR. Effect of cervical traction with a tenaculum on the uterocervical angle. BJOG: Int J Obstet Gynaecol. 1991; 98(3):309-12. [DOI:10.1111/j.1471-0528.1991.tb13399.x] [PMID]
2. Sheth SS. Vaginal hysterectomy as a primary route for morbidly obese women. Acta Obstet Gynecol Scand. 2010; 89(7):971-4 [DOI:10.3109/00016341003681256] [PMID]
3. To MS, Skentou CA, Royston P, Yu CK, Nicolaides KH. Prediction of patient‐specific risk of early preterm delivery using maternal history and sonographic measurement of cervical length: a population‐based prospective study. Ultrasound in obstetrics & gynecology: Official J Int Soc Ultrasound Obstet Gynecol. 2006; 27(4):362-7. [DOI:10.1002/uog.2773] [PMID]
4. Bergelin I, Valentin L. Normal cervical changes in parous women during the second half of pregnancy-a prospective, longitudinal ultrasound study. Acta Obstet Gynecol Scand. 2002; 81(1):31-8. [DOI:10.1046/j.0001-6349.2001.00311.x] [PMID]
5. Nag, K.M., Apparatus and method for human artificial insemination and embryo transplanting. 2000, Google Patents
6. Sochacki-Wojcicka N, Wojcicki J, Bomba-Opon D, Wielgos M. Anterior cervical angle as a new biophysical ultrasound marker for prediction of spontaneous preterm birth. Ultrasound in obstetrics & gynecology: Official J Int Soc Ultrasound Obstet Gynecol. 2015; 46(3):377-8. [DOI:10.1002/uog.14801] [PMID]
7. Rouse D.J, Deborah G, Elizabeth T, Michael W, Catherine Y, Brian M, et al. A randomized, controlled trial of magnesium sulfate for the prevention of cerebral palsy. New Engl J Med. 2008; 359(9): 895-905. [DOI:10.1056/NEJMoa0801187] [PMID] [PMCID]
8. Levin G, Meyer R, Mor N, Yagel S, David M, Yinon Y, et al. Trial of labor after cesarean in adolescents-a multicenter study. J Pediatr Adolesc Gynecol. 2020; 33(4): 398-402. [DOI:10.1016/j.jpag.2020.02.006] [PMID]
9. Obstetricians, A.C.o. and Gynecologists, ACOG Practice Bulletin. Assessment of risk factors for preterm birth. Clinical management guidelines for obstetrician-gynecologists. Number 31, October 2001. (Replaces Technical Bulletin number 206, June 1995; Committee Opinion number 172, May 1996; Committee Opinion number 187, September 1997; Committee Opinion number 198, February 1998; and Committee Opinion number 251, January 2001). Obstet Gynecol. 2001; 98(4): 709-16.
10. Abbassi-Ghanavati M, James M, Donald D, Rashmin C, Kenneth J. Neonatal effects of magnesium sulfate given to the mother. Am j Perinatol. 2012; 29(10): 795-800. [DOI:10.1055/s-0032-1316440] [PMID]
11. Kenyon SL, Taylor DJ, Tarnow-Mordi W. Broad-spectrum antibiotics for preterm, prelabour rupture of fetal membranes: the ORACLE I randomised trial. Lancet. 2001; 357(9261):979-88. [DOI:10.1097/00006254-200109000-00007]
12. Kragt, H. and M.J. Keirse, How Accurate Is a Woman's Diagnosis of Threatened Preterm Delivery? Obstet Gynecol Survey. 1991; 46(3): 145-6. [DOI:10.1097/00006254-199103000-00008]
13. Cannie M, Dobrescu O, Gucciardo L, Strizek B, Ziane S, Sakkas E, et al. Arabin cervical pessary in women at high risk of preterm birth: a magnetic resonance imaging observational follow‐up study. Ultrasound Obstet Gynecol. 2013; 42(4):426-33. [DOI:10.1002/uog.12507] [PMID]
14. Abelin-Genevois K, Idjerouidene A, Roussouly P, Vital J, Garin C. Cervical spine alignment in the pediatric population: a radiographic normative study of 150 asymptomatic patients. Eur Spine J. 2014; 23(7):1442-8. [DOI:10.1007/s00586-013-3150-5] [PMID]
15. Adams T.M, Kinzler LW, Chavez RM, Fazzari JM, Vintzileos AM. Practice patterns in the timing of antenatal corticosteroids for fetal lung maturity. J Matern Fetal Neonat Med. 2015; 28(13): 1598-601. [DOI:10.3109/14767058.2014.962508] [PMID]
16. Bergelin I, Valentin L. Normal cervical changes in parous women during the second half of pregnancy-a prospective, longitudinal ultrasound study. Acta Obstet Gynecol Scandinavica. 2002; 81(1): 31-8. [DOI:10.1046/j.0001-6349.2001.00311.x] [PMID]
17. Mella MT, Berghella V Prediction of preterm birth: cervical sonography. Semin Perinatol. 2009; 33 (5): 317-24. [DOI:10.1053/j.semperi.2009.06.007] [PMID]
18. O'Hara S, Zelesco M, Sun Z. Cervical length for predicting preterm birth and a comparison of ultrasonic measurement techniques. Australas J Ultrasound Med. 2013; 16(3):124-34 [DOI:10.1002/j.2205-0140.2013.tb00100.x] [PMID] [PMCID]
19. Pils S, Eppel W, Promberger R, Winter MP, Seemann R, Ott J. The predictive value of sequential cervical length screening in singleton pregnancies after cerclage: a retrospective cohort study. BMC Pregnancy Childbirth. 2016; 16(1):1-7. [DOI:10.1186/s12884-016-0866-3] [PMID] [PMCID]
20. Mirteimouri M, Pourhoseini A, Emadzadeh M, Yousefi N, Moein Darbari S. Maternal and fetal complications in vaginal birth after cesarean. Iran J Obstetr, Gynecol Infertil. 2020; 23(8): 1-7.
21. Nikolova T, Uotila J, Nikolova N, Bolotskikh VM, Borisova VY, Di Renzo GC. Prediction of spontaneous preterm delivery in women presenting with premature labor: a comparison of placenta alpha microglobulin-1, phosphorylated insulin-like growth factor binding protein-1, and cervical length. Am J Obstet Gynecol. 2018; 219(6):610-e1. [DOI:10.1016/j.ajog.2018.09.016] [PMID]
22. Conde-Agudelo A, Romero R, Hassan SS, Yeo L. Transvaginal sonographic cervical length for the prediction of spontaneous preterm birth in twin pregnancies: a systematic review and metaanalysis. Am J Obstet Gynecol. 2010; 203(2):128 [DOI:10.1016/j.ajog.2010.02.064] [PMID] [PMCID]
23. Dziadosz M, Bennett TA, Dolin C, Honart AW, Pham A, Lee S. Uterocervical angle: a novel ultrasound screening tool to predict spontaneous preterm birth. Am J Obstet Gynecol. 2016; 215(3): 376. e1-376. e7. [DOI:10.1016/j.ajog.2016.03.033] [PMID]
24. Swanson K, Grobman WA, Miller ES. Is Uterocervical Angle Associated with Gestational Latency after Physical Exam Indicated Cerclage? Am J Perinatol. 2018; 35(9): 840. [DOI:10.1055/s-0037-1621734] [PMID] [PMCID]
25. Knight JC, TenBrink E, Sheng J, Patil AS. Anterior uterocervical angle measurement improves prediction of cerclage failure. J Perinatol. 2017; 37(4):375-9 [DOI:10.1038/jp.2016.241] [PMID]

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License Journal of Obstetrics, Gynecology and Cancer Research by Farname Inc is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. Based on a work at http://jogcr.com/.

© 2022 CC BY-NC 4.0 | Journal of Obstetrics, Gynecology and Cancer Research (JOGCR)

Designed & Developed by : Yektaweb | Piblisher: Farname Inc.