Correlation between visual examination of the cervix and digital examination |
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| Authors: | Leonardo Pereira Rebecca Gould Jacquelyn Pelham Jay Goldberg |
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| Affiliation: | 1. Division of Maternal-Fetal Medicine, Oregon Health and Science University, Portland, OR, USApereiral@ohsu.edu;3. Department of Obstetrics and Gynecology, Drexel University College of Medicine, Philadelphia, PA, USA;4. Division of Maternal-Fetal Medicine, Washington Medical Center, Washington, DC, MD, USA;5. Jefferson Medical College of Thomas Jefferson University, Philadelphia, PA, USA |
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| Abstract: | ![]()
Objective.?To determine the correlation between visual assessment of the cervix and digital examination.Methods.?Prospective study of patients presenting to Labor and Delivery. Exclusion criteria were preterm premature ruptured membranes (PPROM) and placenta previa. Visual and digital assessments of cervical dilation, effacement, position, and station of fetal presenting part were made. Correlation between visual and digital examinations was measured using Spearman rank correlation coefficient (COR). A p-value Results.?The study involved a total of 107 patients at a mean gestational age of 32.3 weeks (range 17–41). Seven patients had ruptured membranes, and 46 were nulliparous. Visual assessment correlated with digital examination for all parameters measured with Spearman rank correlation coefficients between 0.618 and 0.686 (all significant at p?p?Conclusion.?Visual assessment correlates with digital examination of the cervix. This correlation remained significant in a subset of preterm patients with intact membranes. |
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| Keywords: | Visual examination digital examination cervical examination cervical assessment |
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