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Purpose
To estimate the incidence of cervical insufficiency and compare recurrence rates of second trimester miscarriage/delivery in second and third pregnancies after prophylactic vaginal cerclage, abdominal cerclage, or no cerclage.Methods
Retrospective chart review of a representative register-based sample of 621 women with a spontaneous second trimester miscarriage/delivery in the first pregnancy in Denmark (1997–2012). We used strict criteria for the diagnosis of cervical insufficiency. The outcome of subsequent pregnancies was described by treatment with prophylactic vaginal cerclage, abdominal cerclage, or no prophylactic cerclage. Women were followed until June 2015.Results
Of 621 women, 149 (24%) fulfilled the strict criteria of cervical insufficiency. Prophylactic treatment with abdominal cerclage (n?=?20), vaginal cerclage (n?=?59), and no prophylactic cerclage (n?=?61) resulted in a second pregnancy ending before 28 weeks in 5, 30, and 72% (p?<?0.001) and before 34 weeks in 10, 46, and 84% (p?<?0.001), respectively. Take-home baby rate was 95% after abdominal cerclage, 73% after vaginal cerclage, and 33% after no cerclage. In a third pregnancy, abdominal cerclage (n?=?47), vaginal cerclage (n?=?38), and no cerclage (n?=?8) resulted in pregnancy ending before 34 weeks of gestation in 2, 21, and 25%, respectively (p?=?0.01).Conclusions
Cervical insufficiency was diagnosed in 24% of women with an initial second trimester spontaneous miscarriage/delivery. In second and third pregnancies, recurrence rates were significantly lower after prophylactic vaginal or abdominal cerclage compared with no cerclage.3.
Hong-Mei Wang Hong-Yan Li Xie-Tong Wang Yan-Yun Wang Lei Li Bo Liang Jing Wang Jia Song 《Taiwanese journal of obstetrics & gynecology》2017,56(6):740-744
Objective
To determine the safety and efficacy of radiofrequency ablation (RFA) for selective fetal reduction in complex monochorionic multiple pregnancies.Materials and methods
From July 2011 to January 2015, data on all cases treated with RFA were collected prospectively in our hospital. Indications, procedure details, cause of fetal demise and pregnancy outcomes were analyzed. Sonography and magnetic resonance imaging were performed to detect fetal brain damage. Information regarding development after birth was collected according to the Gesell Development Schedule®.Results
There were 22 cases of twins (6 presenting with twin-twin transfusion syndrome, 10 with malformations, 4 with selective intrauterine growth restriction, and 2 with twin reversed arterial perfusion sequence); and 11 cases of triplets (9 dichorionictriamniotic, 2 monochorionictriamniotic). All surgeries were completed with one puncture. No maternal complications presented during RFA procedure, and the PPROM rate before 32 w was 9% (3/33). There were 3 cases of intrauterine fetal demise and 4 twin cases where pregnancy was terminated. The fetal survival rate was 77% (17/22) in twins, 91% (20/22) in triplets. Total fetal survival rate was 84% (37/44). The neurodevelopmental follow-up investigations showed no abnormalities in any of the survivors.Conclusion
RFA for selective fetal reduction in complex monochorionic multiple pregnancies is effective, minimally invasive, and safe. 相似文献4.
Masako Matsui Yuichiro Takahashi Shigenori Iwagaki Rika Chiaki Kazuhiko Asai Ichiro Kawabata 《Taiwanese journal of obstetrics & gynecology》2017,56(1):23-26
Objective
The preterm birth rate of twins is reportedly higher than that of single pregnancies. We performed preliminary preventive interventions at our center focused on evaluating the risk of each case before 14 weeks of gestation to reduce the spontaneous preterm birth rate.Materials and methods
The participants included 184 dichorionic–diamniotic twins delivered at our center during the 8 years from 2006. We evaluated each patient regarding high-risk status (at least 1 additional factor as follows: threatened abortion, history of chorioamnionitis, cervicitis, and bacterial vaginosis), based on available evidence; patients deemed high risk gave their informed consent and underwent treatment for cervicitis and cerclage if indicated. We divided the patients into two groups depending on whether the management was initiated before (Group A) or after (Group B) 14 weeks. We further divided Group A into three: Group 1 underwent treatment for cervicitis, Group 2 underwent cervical cerclage in addition to treatment for cervicitis, and Group 3 did not undergo preventive treatment. We retrospectively compared the preterm birth rates of the two groups, and we also compared them between the higher-risk group (Group 1 + 2) and the no additional risk group (Group 3) in Group A.Results
The spontaneous preterm birth rate < 36 weeks was significantly lower in Group A (4/90; 4.4%) than in Group B (18/94; 19.1%) (p = 0.001). However, there were no significant differences between Group 1 + 2 and Group 3 (2/42 vs. 2/46). Focusing on the spontaneous preterm birth rate < 34 weeks, Group A had a lower rate than Group B (2/90; 2.2% vs. 13/94; 13.8%, p = 0.0012).Conclusion
Even though this was a preliminary study, the results are promising, and we propose custom-made management for dichorionic–diamniotic twins: (1) earlier management from before 14 weeks; (2) high-risk selection for cervicitis and a short cervix; and (3) intervention with anti-inflammatory agents and cerclage if indicated. 相似文献5.
Pintu Paul 《Journal of pediatric and adolescent gynecology》2018,31(6):620-624
Study Objective
This study aimed to examine the association between maternal age at marriage and selected pregnancy outcomes: stillbirth, miscarriage, and complications during pregnancy, labor, and postpartum period.Design
Cross-sectional study.Setting
India.Participants
A total of 35,253 ever-married women aged 15-49 years from the second round of the India Human Development Survey were used to examine the association between maternal age at marriage and stillbirth and miscarriage. Moreover, 14,229 ever-married women who gave birth since January 2005 were used to assess the effect of maternal age at marriage on pregnancy, labor, and postpartum complications.Interventions
Cross-tabulation, Pearson's χ2 test, and binary logistic regression were performed for the analyses of the study data.Main Outcome Measures
Stillbirth, miscarriage, and complications during pregnancy, labor, and postpartum period.Results
Bivariate association showed significant differences in women's pregnancy outcomes according to their age at marriage. Multivariate logistic regression analyses revealed that after controlling for relevant demographic characteristics, the likelihood of stillbirth (adjusted odds ratio [AOR], 1.12; P < .05), miscarriage (AOR, 1.15; P < .01), pregnancy complications (AOR, 1.24; P < .01), and postnatal complications (AOR, 1.32; P < .01) were significantly higher among the women who married at 14 years or younger than those married at the age of 18 years or later. However, the current study did not show any significant association between the women who married at 15-17 years and the pregnancy outcomes except for postnatal complications (AOR, 1.12; P < .05) in adjusted analyses.Conclusion
This study showed that early maternal age at marriage substantially increases the risk of adverse pregnancy outcomes, which suggests strengthening of existing laws and policies to increase age at marriage of girls, and effort should be made to improve health status of married adolescents. 相似文献6.
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Abraham Degarege Karl Krupp Kristopher Fennie Tan Li Dionne P. Stephens Laura A.V. Marlow Vijaya Srinivas Anjali Arun Purnima Madhivanan 《Journal of pediatric and adolescent gynecology》2018,31(5):494-502
Study Objective
The aim of this study was to compare the parental attitudes and beliefs about human papillomavirus (HPV), cervical cancer, and HPV vaccine between urban and rural areas, India.Design
Cross-sectional.Setting
Mysore, India.Participants
Parents of school-going adolescent girls.Interventions
Parents completed a self-administered questionnaire.Main Outcome Measures
Attitudes and beliefs about HPV, cervical cancer, and HPV vaccine.Results
A total of 1609 parents from urban (n = 778) and rural (n = 831) areas participated in this study. Most of the parents had never heard about HPV (73.6%), did not know that their daughters could get an HPV infection (62.7%) or cervical cancer (64.1%) in the future, and believed that HPV vaccine was not effective (67.1%). Parents living in the urban area were more likely to believe that HPV infection (adjusted odds ratio [aOR], 2.69; 95% confidence interval [CI], 1.43-5.06) and cervical cancer (aOR, 2.68; 95% CI, 1.83-3.91) could cause serious health problems than those living in the rural area. The odds of agreeing that HPV vaccination will make girls sexually active was lower among urban than rural parents (aOR, 0.55; 95% CI, 0.33-0.94). There was no significant difference among parents in the urban and rural areas in their beliefs about susceptibility of their daughter to HPV infection or cervical cancer, and beliefs about the safety and ability of HPV vaccine to protect against cervical cancer.Conclusion
Rural parents might be reluctant to recommend behaviors that can help prevent HPV infection and cervical cancer such as HPV vaccination for their daughters. 相似文献8.
Objective
This study aimed to determine the effect of twin pregnancy chorionic properties on pregnancy complications and fetal outcomes.Materials and methods
A total of 559 subjects with gemellary pregnancy were included in the retrospective analysis, and clinical data, such as monitoring data during pregnancy and maternal and fetal outcomes, were recorded in detail. Based on the ultrasound results and methods of the postpartum pathologic examination of the placental membranes, the subjects were divided into the twin group with monochorionic diamnion (MCDA group, n = 198) and twin group with dichorionic diamnion (DCDA group, n = 361). The relationships of different chorionic properties and maternal and fetal outcomes were determined by comparing the maternal complications and fetal outcomes.Results
The occurrence rate of gemellary pregnancy was 2.97% and that of monochorionic twin pregnancy was 34.8%. The MCDA group showed a higher incidence of pregnancy-induced hypertension, gestational diabetes mellitus, polyhydramnios, premature rupture of membranes, and abruptio placenta and a lower incidence of severe postpartum hemorrhage than the DCDA group. However, the incidence of preterm birth was significantly different (57.6% vs. 45.7%, P < 0.05). Significant differences were also detected in the incidence of fetal loss, complicated twins, neonatal asphyxia, and perinatal death between the two groups (P < 0.05).Conclusion
The incidence of maternal complication (such as pregnancy-induced hypertension, gestational diabetes mellitus, polyhydramnios, premature rupture of membranes, and abruptio placenta and severe postpartum hemorrhage) in the two groups was not significantly different; however, the fetal outcomes in the MCDA group were inferior to those in the DCDA group. The fetal outcomes may be improved by determining the chorionic properties in early pregnancy by using ultrasound and consequently planning for pregnancy monitoring and intervention. 相似文献9.
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Soo Ran Choi Soon-Sun Hong Juyoung Kim Keun-Young Lee 《Taiwanese journal of obstetrics & gynecology》2018,57(3):407-410
Objective
The aim of the study was to determine the relationships between short cervical length (CL) and levels of cervical fluid neutrophil elastase (NE), secretory leukocyte protease inhibitor (SLPI), and interleukin 8 (IL-8) in the second trimester of pregnancy of women who underwent ultrasound-indicated cervical cerclage.Materials and methods
CL of <25 mm or cervical funneling were included in the short CL group (n = 26) and the normal CL group (n = 22) included women who had CL of ≥25 mm and had no cervical funneling in women between 17 + 0 and 24 + 6 weeks of gestation. Levels of NE, SLPI, and IL-8 were measured by using enzyme-linked immunosorbent assay kits. Mann–Whitney U tests and Spearman's correlation analysis were used for statistical analyses.Results
Compared with the normal CL group, the short CL group had significantly higher median NE levels (P < 0.001) and higher, though not significant, median IL-8 levels by approximately three times (2107.0 vs. 798.3 pg/mL, P = 0.132). The median SLPI levels in cervical fluid was similar between the two groups (107.6 vs. 103.2 ng/mL, P = 0.499). Short CL had a significant correlations with cervical fluid NE levels (r = ?0.475, P = 0.001).Conclusion
Increased cervical fluid NE associated with cervical shortening in second trimester of pregnancy, whereas cervical fluid SLPI had constant levels. 相似文献11.
Dong-Ying Wang Li Tian Danhua Shen Zhen-Juan Yang 《Taiwanese journal of obstetrics & gynecology》2017,56(3):368-370
Objective
Our aim was to evaluate the value of the volumetric fraction of vascular endothelial cells (EnVF) for determining endometrial receptivity in women undergoing in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI).Materials and methods
The records of women undergoing IVF/ICSI between 2006 and 2010 were retrospectively reviewed. An endometrial biopsy was performed in the cycle prior to IVF/ICSI. EnVF was calculated from endometrial biopsy staining.Results
Twenty-seven patients who did not become pregnant, 8 who had a miscarriage, and 21 with a clinical pregnancy were included. The three groups were similar with respect to infertility and IVF characteristics. An EnVF ≤3.85 was associated with not becoming pregnant, an EnVF >5.29 with miscarriage, and a level between 3.86 and 5.29 was associated with clinical pregnancy (p = 0.001).Conclusions
EnVF examined in the prior cycle may be a marker of endometrial receptivity and predict the chance of pregnancy in women undergoing IVF/ICSI. 相似文献12.
Tazim Dowlut-McElroy Jeanette Higgins Karen B. Williams Julie L. Strickland 《Journal of pediatric and adolescent gynecology》2018,31(1):19-22
Study Objective
To evaluate the characteristics of girls with accidental genital trauma (AGT) who can be managed in the emergency department (ED) vs the operating suite (OS).Design
Retrospective cohort.Setting
ED at a children's hospital in a metropolitan area.Participants
Girls aged 0-18 years with AGT.Interventions and Main Outcome Measures
Factors associated with need for evaluation and repair of AGT in the OS.Results
A total of 359 girls were included in the analysis. The mean age was 6 ± 3 years. Most girls presented with pain and bleeding, 321/359 (89%). Straddle injury was the most common mechanism, 258/355 (73%). The most commonly injured site was the labia, 225/358 (63%) and the most common type of injury was laceration, 308/357 (86%). Factors significantly associated with treatment in the OS included older age, transfer from another institution, penetrating injuries, injuries involving the hymen/vagina/urethra/anus, and injuries larger than 3 cm in size. The odds of requiring general anesthesia in the OS were 5.5 times higher for injuries larger than 3 cm (95% confidence interval, 2.8-10.9; P < .0001) and 4.1 times greater if the patient was transferred from another facility (95% confidence interval, 1.3-13.3; P < .02).Conclusion
Most AGT can be managed expectantly. Penetrating injuries, injuries to the hymen/vagina/urethra/anus, and injuries with a maximal size of 3 cm should be considered as indications for management in the OS. With adequate procedural sedation, most girls with minor injuries as a result of AGT can undergo a thorough examination and repair of AGT in the ED. 相似文献13.
Julie S. Downs Amie M. Ashcraft Pamela J. Murray Elise D. Berlan Wändi Bruine de Bruin Joan Eichner Baruch Fischhoff Janie M. Leary Robert B. McCall Elizabeth Miller Jennifer Salaway Janell Smith-Jones Gina S. Sucato 《Journal of pediatric and adolescent gynecology》2018,31(3):291-298.e2
Study Objective
To assess the effects of the Seventeen Days interactive video on young women's perceived self-efficacy for using condoms 6 months after being offered the intervention, relative to a control.Design
Multisite randomized controlled trial.Setting
Twenty participating health clinics and county health departments in Ohio, Pennsylvania, and West Virginia.Participants
Sexually active female adolescents ages 14 to 19 years.Interventions
Seventeen Days (treatment intervention; sex education) vs Driving Skills for Life (control intervention; driving education).Main Outcome Measures
Perceived self-efficacy for condom use.Results
Participants in the Seventeen Days group reported higher perceived condom acquisition self-efficacy after 6 months than those in the driving group. This finding held after controlling for baseline self-efficacy scores and other covariates.Conclusion
The Seventeen Days program shows promise to improve perceived self-efficacy to acquire condoms among sexually active female adolescents—an important precursor to behavior change. 相似文献14.
Tasuku Mariya Yuya Fujibe Shota Shinkai Naoko Sugita Masahiro Suzuki Toshiaki Endo Tsuyoshi Saito 《Taiwanese journal of obstetrics & gynecology》2018,57(5):672-676
Objective
Umbilical cord entanglement is known to be a major cause of fetal hypoxia and to be correlated with several neonatal complications, but almost all of the previous reports were restricted to nuchal cord. In this study, we retrospectively examined the correlation between multiple part cord entanglement and pregnancy outcomes.Materials and methods
A total of 2156 cases were recruited from term deliveries in our hospital from 2008 to 2012. We counted umbilical cord loop numbers not only for nuchal cord but also for trunk and limb cord entanglement. We classified the cases into three groups: no loop, single loop and multiple loops group. We statistically analyzed pregnancy outcomes statistically in the three groups.Results
One thousand, four hundred and fifty-eight cases had no cord entanglement, 594 cases had single loop entanglement and 104 cases had multiple loops entanglement. Values of umbilical artery blood, pH (p = 0.002) and base excess (p < 0.001) showed significantly unfavorable status in entanglement cases, especially in the multiple loops group. A significantly larger percentage of neonates in the multiple loops group needed for oxygen (p < 0.001).Conclusion
Multiple umbilical cord entanglement is highly correlated with early neonatal unfavorable status and need for resuscitation. 相似文献15.
Gulten Ozgen Burcu Dincgez Cakmak Betul Dundar Fatma Nurgul Tasgoz Feyza Bayram Burak Karadag 《Taiwanese journal of obstetrics & gynecology》2018,57(1):71-75
Objective
Isolated oligohydramnios is defined as an amniotic fluid index below five centimeter with no other coexisting condition. There are still controversies about the management and pregnancy outcomes. A marker predicting these is crucial. Low pregnancy associated plasma protein-A levels were reported to be related with adverse pregnancy outcomes. We aimed to determine the role of first trimester pregnancy associated plasma protein-A for poor outcomes in preterm isolated oligohydramnios cases.Material and Methods
Fifty-one patients with singleton pregnancies diagnosed as isolated oligohydramnios at 28/0–36/6 weeks of gestation and 110 gestational age matched healthy controls between January and December 2015 were included. Maternal age, gestational age at delivery, mode of delivery, indication for cesarean section, Apgar scores at first and fifth minutes, birth weight, neonatal intensive care unit admission and mortality were recorded. Pregnancy associated plasma protein-A levels were compared between groups and its role in adverse perinatal outcomes was evaluated.Results
Pregnancy associated plasma protein-A levels and pregnancy outcomes were similar in two groups (p > 0.050) except birth weight, gestational age at delivery and presence of fetal distress. Pregnancy associated plasma protein-A levels did not differ in terms of delivery mode, presence of fetal distress, first and fifth minutes Apgar scores and neonatal intensive care unit admission (p = 0.323,0.650,0.990,0.112,0.853). Also, it was not determined as a risk factor for cesarean section, presence of fetal distress, low Apgar scores and neonatal intensive care unit admission.Conclusion
Pregnancy associated plasma protein-A, a well-known prognostic factor for some of high risk pregnancy conditions, may not be used as a marker in preterm isolated oligohydramnios cases. 相似文献16.
Shu-Han You Yao-Lung Chang Chih-Feng Yen 《Taiwanese journal of obstetrics & gynecology》2018,57(2):248-254
Objective
To study the maternal and fetal outcomes and assess the risk factors in patients with rupture at the lower-segment or non-lower-segment scarred, or unscarred gravid uterus.Materials and Methods
Gravid patients with uterine rupture were retrospectively collected in Chang-Gung Memorial Hospital from November 2004 to July 2017. The rupture timing and location in association with maternal and fetal outcomes were collected as well as the possible risk factors including surgical history and interval prior to conception were analyzed.Results
Thirty patients were included [mean age (±SEM), 34.4 ± 0.7 years; mean body mass index, 25.0 ± 0.6 kg/m2] with mean onset of rupture at 34.2 ± 0.9 weeks, in which, 12 occurred at term and 18 at preterm (range 20–34 weeks). Four fetal demises, 22 transferals to neonatal intensive care unit, and 17 maternal blood transfusions without maternal mortality were noted. Twenty-two patients presented with acute abdominal pain and/or abnormal fetal heart rate tracing were managed with emergent cesarean delivery. Four ruptures were found in postpartum of vaginal delivery, in which 3 were after trials of labor after cesarean delivery and 1 was unscarred uterus, and two of the four eventually underwent hysterectomy. Unscarred uterus (n = 6) without identifiable risk factor ruptured in significantly later gestation associated with higher fetal birthweights than those of the scarred uterus (n = 24) (both p < 0.05), both of which yielded morbidity. The rupture timing between patients of non-lower-segment scar (n = 14) and lower-segment scar (n = 10) were not significantly different.Conclusion
Rupture of gravid uterus prevalently occurred after 30 weeks of gestation with remarkable morbidity. Unscarred uterus could rupture in later gestation than the scarred ones without identifiable risk factor. Alertness to the acute abdominal pain, atypical from uterine contraction or the suspicious fetal heart rate tracing is the key to the timely rescue and successful management. 相似文献17.
Sadia Haider Cynthia Stoffel Annie Dude 《Journal of pediatric and adolescent gynecology》2018,31(4):388-393
Study Objective
To describe contraceptive method use by adolescent women in the 6 months after any pregnancy.Design
We conducted a secondary analysis of the 2011-2013 and 2013-2015 cycles of the National Survey of Family Growth.Setting
This survey is a nationally—representative population—based survey of reproductive aged women in the United States.Participants
The sample included respondents who had at least 1 pregnancy that ended within the contraceptive calendar period as well as before the month of the respondent's 20th birthday. Women were included even if they did not have a full 6 months' worth of data.Interventions and Main Outcome Measures
We examined contraception method use at 1, 2, 4, and 6 months post pregnancy regardless of pregnancy outcome (live birth, induced abortion, or miscarriage).Results
Our sample consisted of 337 women with a mean age of 18.5 years. Almost half (N = 158, weighted percentage = 43.5%) of adolescents were using no method of contraception at 1 month post pregnancy. By 6 months post pregnancy, only 143 of 287 women with data through 6 months (weighted percentage = 49.7%) were using more effective methods of contraception (long-acting reversible contraception or hormonal methods), and 83 of these 287 were using no method (weighted percentage = 29.2%), including 61 of 261 women who reported that their last pregnancy was unwanted. Women from racial and ethnic minorities were less likely to use the most effective contraceptive methods. Rapid repeat pregnancy occurred among 44 of 209 women in the subsample with 18 months' follow-up data (weighted percentage = 16.9%). Only 56 of 337 adolescents (weighted percentage = 19.0%) used long-acting reversible contraceptive methods at any time post pregnancy regardless of pregnancy outcome.Conclusion
Contraceptive use, especially of the most effective methods, remains low for adolescent women by 6 months post pregnancy. 相似文献18.
Peter Barr 《Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG》2018,47(6):771-782
Objective
To explore the relationships of core self-evaluations of personality (self-esteem, generalized self-efficacy, emotional stability, and internal locus of control), the five-factor model personality traits (neuroticism, agreeableness, extraversion, conscientiousness, and openness), and positive and negative affect with neonatal nurses’ professional quality of life (burnout, secondary traumatic stress, and compassion satisfaction).Design
Cross-sectional cohort study.Setting
Four Level 3–4 NICUs in New South Wales, Australia.Participants
One hundred forty-two (35%) of 405 eligible neonatal nurses.Methods
Online self-report measures of personality traits, positive and negative affect, and professional quality of life.Results
Core self-evaluations explained 33%, 21%, and 26% of the variance in burnout, secondary traumatic stress, and compassion satisfaction, respectively. After controlling for core self-evaluations, agreeableness, neuroticism, and extraversion contributed to the respective variances in burnout, secondary traumatic stress, and compassion satisfaction. After controlling for core self-evaluations and the five-factor model personality traits, positive affect contributed to the variance in burnout and compassion satisfaction, whereas negative affect contributed to the variance in secondary traumatic stress. No five-factor model personality trait contributed to the variance in professional quality of life in the final regression models. Positive affect mediated the effect of core self-evaluations on burnout and compassion satisfaction, whereas negative affect mediated the effect of core self-evaluations on secondary traumatic stress.Conclusion
Neonatal nurses should be aware of and accept responsibility for personality traits and moods that benefit or detract from their professional quality of life. NICU nurse managers should ensure that neonatal nurses have ready access to psychological support services. 相似文献19.
Young-Joo Lee Seung-Chul Kim Jong-Kil Joo Dong-Hyung Lee Ki-Hyung Kim Kyu-Sup Lee 《Taiwanese journal of obstetrics & gynecology》2018,57(3):374-378
Objective
Prediction of delivery latency complicated with preterm premature rupture of membrane (PPROM) is crucial for reducing maternal and neonatal complications. Therefore, we investigated the correlations between latency period and cut-off values of ultrasonographic parameters, ultimately predicting delivery latency.Materials and methods
The retrospective study was performed on 121 PPROM patients enrolled between March 2010 and July 2015. Parameters including amniotic fluid index (AFI), single deepest pocket (SDP) and transvaginal cervical length (TVCL) were measured in 99 singleton pregnancies with PPROM. Latency was defined as the period from sonographic measurements to delivery day. The parameters were analyzed independently by Wilcoxon rank sum test and Fisher's exact test. Cut-off values were determined using a receiver operating characteristic (ROC) curve.Results
In delivery latency within 3 days, AFI and SDP were decreased with significantly shorter TVCL. AFI and SDP had the highest sensitivity (82.2%) and SDP combined with TVCL showed the highest specificity (75.9%) in area under curve (AUC) value. The predicted median latency period was less than 2 days within the cutoff value of parameter (AFI ≤ 7.72, SDP ≤ 3.2 and TVCL ≤ 1.69).Conclusion
AFI and SDP combined with TVCL could be useful predictive parameters of the latency interval from PPROM to delivery. 相似文献20.
Anne M. Teitelman Su Kyung Kim Roshani Waas Amanda DeSenna Rebecca Duncan 《Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG》2018,47(6):844-852