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- W3206305546 abstract "There is no standard test for the prediction of spontaneous preterm delivery (sPTD) in women with a history of preterm delivery. The aim of this study is to investigate the availability of cervical elastography as prediction test of sPTD in high-risk women. This study was conducted a multicentre, prospective, observational study between June 2018 and December 2021. Cervical elastography was performed in asymptomatic singleton pregnant women with a history of prior sPTD between 150/7–296/7 weeks of gestational age (GA) using E-cervixTM (WS80A, Samsung Medison, Seoul, Republic of Korea). The sPTD was defined as deliveries < 370/7 weeks due to PPROM or spontaneous onset of labour. Twin pregnancies, medically indicated preterm births such as pre-eclampsia, fetal growth restriction, and chorioamnionitis, and women with preterm labour at the time of ultrasonographic cervical assessment were excluded. Elastographic parameters including elasticity contrast index (ECI), Internal os stiffness, external os stiffness, internal to external os stiffness Ratio, and hardness ratio were analysed. Receiver operating curves (ROCs) were generated and area under the curve (AUC) calculated for the diagnostic accuracy of preterm delivery. A total of 126 pregnant women were included in this study of which 30 (23.3%) had a sPTD. The mean GA at the examination of cervix was 20.73±4.04 weeks. Among elastographic parameters, ECI was significantly higher in women with sPTD compared to women without sPTD (3.34 ±1.23 vs. 2.80 ±0.98, p = 0.028). The ROCs of ECI showed an AUC of 0.63 (95%CI 0.51-0.75) to predict sPTD. The cervical elastography can be used for predicting sPTD in singleton pregnant women with a history of preterm delivery." @default.
- W3206305546 created "2021-10-25" @default.
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- W3206305546 date "2021-10-01" @default.
- W3206305546 modified "2023-09-26" @default.
- W3206305546 title "VP46.13: Prediction of spontaneous preterm birth in asymptomatic women with prior preterm delivery by cervical elastography" @default.
- W3206305546 doi "https://doi.org/10.1002/uog.24688" @default.
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