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- W1973724165 abstract "To estimate if the presence or absence of funneling influence the incidence of spontaneous preterm birth (SPTB) in women with a short cervical length (CL) on transvaginal ultrasound (TVU). Women identified to have a short CL on TVU between 14 0/7 and 23 6/7 weeks at Thomas Jefferson University were reviewed between 1995 and June 2005. A short CL was defined as <25 mm. Funneling was defined as the ratio of funnel length over funnel length plus functional CL, and considered present if this ratio was >25%. Exclusion criteria were major fetal anomaly, prophylactic cerclage, indicated preterm birth, and multiple gestation. Cases were defined as those women with a short CL with funneling, while controls were women with short CL without funneling. Primary outcome was SPTB <35weeks. Two hundred forty-three women with singleton gestations and a short CL< 25 mm between 14 - 23 6/7 weeks were identified. Seventy-eight women with funneling were matched and compared to 78 women with no funneling. The two groups were similar in demographics and risk factors, including CL, gestational age (GA) at short CL, and prior SPTB (Table). The outcomes of SPTB < 35 weeks, SPTB <32 weeks, and PPROM were not different in these two groups (Table). Funneling in women with a short CL < 25 mm between 14 0/7 and 23 6/7 weeks did not increase the incidence of SPTB compared to similar women with no funneling. The risk of SPTB in women with a short CL should therefore be estimated just from the degree of cervical shortening.Tabled 1Funneling versus no funneling in women with CL<25 mm at 14-23 6/7 wFunnelNo funnelP valueN7878CL (mm)19.3 ±2.820.3 ± 3.80.1GA at short CL (wk)19.5 ±2.619.6 ± 2.70.8Prior SPTB47 (60%)36 (46%)0.1SPTB <35 w25 (32%)23 (29%)0.7SPTB <32 w19 (24%)15 (19%)0.4PPROM20 (26%)15 (19%)0.3 Open table in a new tab" @default.
- W1973724165 created "2016-06-24" @default.
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- W1973724165 date "2005-12-01" @default.
- W1973724165 modified "2023-10-18" @default.
- W1973724165 title "Does the presence or absence of funneling influence the incidence of preterm birth in women with a short cervical length?" @default.
- W1973724165 doi "https://doi.org/10.1016/j.ajog.2005.10.584" @default.
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