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María Ramírez Pineda José Luis Dueñas Díez Carlos Bedoya Bergua Juan Polo Padillo 《Progresos de Obstetricia y Ginecología》2009
Objective
To evaluate the usefulness of fetal fibronectin and cervical length in predicting preterm birth in women with preterm uterine contractions.Material and methods
A prospective study was conducted at the Virgen Macarena Hospital in Seville that included 153 pregnant women with suspected preterm labor and intact membranes. Cervical length was measured by transvaginal sonography and a rapid qualitative fibronectin test was performed in the emergency consultation. Women with a negative fibronectin test and cervical length ≥ 30 mm were not hospitalized or treated with tocolytics or corticosteroids.Results
The mean gestational age at diagnosis was 223,02 ± 19,98 days, and 267,52 ± 14,15 days at delivery. Preterm birth < 37 weeks rate was 23% and 7,4% for deliveries < 35 weeks. There is an association between cervical length < 30 mm and birth < 37 weeks (OR, 3,68; 95% CI, 1,53-8,84), and with delivery in the following 14 days (OR, 3,35; 95% CI, 1,30-21,95). With the association of both tests we gain specificity in predicting preterm birth.Conclusion
Cervical length is the test with higher specificity (E) and negative predictive value (VPN) for the prediction of preterm birth in women with symptomatic contractions. 相似文献7.
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Clara Ruiz-Guerrero Ángel Daniel Domínguez-PérezJoaquín Ortega-Quintanilla Verónica Nacarino MejíasHerminia Pérez-Vega M. Alcázar Iribarren-Marín 《Progresos de Obstetricia y Ginecología》2011,54(1):27-29
We present the case of a 39 year old woman with hidrosálpinx diagnosed by pelvis magnetic resonance in the context of pelvic inflammatory disease. We note the importance of this imaging technique to differentiate it from other pelvic processes, especially neoplasms. 相似文献
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