THE ROLE OF TRANSVAGINAL CERVICOMETRY AND THE DETERMINATION OF FETAL FIBRONECTIN AS METHODS OF PREVENTION OF PRETERM LABOR
Journal Title: INTERNATIONAL ACADEMY JOURNAL "Web of Scholar" - Year 2018, Vol 2, Issue 2
Abstract
Preterm labor is a major cause of perinatal morbidity and mortality. Despite the significant progress in predicting, diagnosing, treating and preventing premature births, their level remains high enough. Therefore, the purpose of our study was to assess the need for a joint test for the determination of fetal fibronectin and the expert assessment of transvaginal cervicometry for the timely prevention of premature birth. Methods: A prospective study was conducted and included 52 patients with a period of 26-27 weeks of gestation and a shortened cervix. All patients were tested for fetal fibronectin. Results: The mean age of women was 29.5 ± 4.2 years. The gestational age of pregnant women included in the study was 26.4 ± 2.5 weeks of gestation. Childbirths that occurred in the period up to 34 weeks of gestation – 13 (25.1 %). Of these, those that occurred within two weeks after the start of the study were 6 (46.15 %). In all 6 cases, a positive test result was found for the determination of fetal fibronectin. Childbirths from the 34th to 36 + 6th weeks of pregnancy occurred in 16 (30.7 %). Urgent births were in 23 (44.2 %) cases. Conclusions: The decrease in the length of the cervix in combination with the positive result of the test for the detection of fetal fibronectin is a significant risk factor for the development of preterm labor and the demonstration of the feasibility of a diagnosis of the threat of preterm birth and a review of the tactics of treatment for pregnant women with a shortened cervix.
Authors and Affiliations
O. B. Malinina, G. V. Chayka
Keywords
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