TITLE:
Sonography Cervical Assessment in Multiple Pregnancy in Correlation with Gestational Age
AUTHORS:
Mahrous Areej, Wesam Kurdi, Samar Nahas
KEYWORDS:
Sonography, Multiple Pregnancy, Cervical Assessment
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.12 No.2,
February
8,
2022
ABSTRACT: Objective: Observe and correlate the cervical length by ultrasound and likelihood
of cervical incompetence and premature delivery in multiple gestations. Materials
and Methods: Retrospective study in multiple pregnancy (twin, triplet,
quadruplet) delivered between 2002-2003, in King Faisal Specialist Hospital and
Research Centre, Riyadh, Saudi Arabia. A total of 68 multiple pregnancies
underwent routine ultrasound for fetal assessment between 16 - 32 weeks when
the cervix was observed. The sonographic measurements included cervix > 2.5
cm and - 20 weeks, 21 - 24 weeks, 25 -
26 weeks, 29 - 32 weeks and >32 weeks. The gestational age at delivery was
our outcome parameter. The data was analyzed statistically using Fisher’s exact
test and P-value below 0.05 was considered significant. Results: Endovaginal ultrasongoraphic cervical measurement in multiple pregnancies
predicted increased preterm delivery risk regardless of maternal age, previous
history of preterm deliveries or presence of vaginal infection. It was found
that spontaneous preterm labor > 25
mm; this majority reached > 32 weeks while the patient who had cervix Conclusion: Cervical assessment during
routine ultrasound in multiple gestations seems to be useful for prediction of
preterm delivery and counseling the patient without risk factors regarding
cervical cerclage. Because of restricted number of patients, we suggest further
study with bigger sample and prospective trial for valued conclusions.