Decrease in the incidence of threatened preterm labor after implementation of transvaginal ultrasound cervical length universal screening

The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Reshama NavatheVincenzo Berghella

Abstract

It is unknown if universal second-trimester transvaginal ultrasound (TVU) cervical length (CL) screening in asymptomatic women with singleton gestations and no prior spontaneous preterm birth (SPTB) affects the incidence of symptoms of preterm labor (PTL) later in pregnancy. To evaluate the incidence of threatened PTL before and after the implementation of universal second trimester TVU CL screening. This was a retrospective cohort study of all consecutive singleton gestations without prior SPTB presenting to obstetric triage for threatened PTL between 23 0/7 and 33 6/7 week in 2011 (1 January-31 December), and in 2014 (1 January-31 December) at Thomas Jefferson University Hospital (TJU) (Philadelphia, PA). These 2 years were chosen as a new protocol for universal TVU CL screening was started on 1 January 2012. This protocol involved one measurement of TVU CL in all singleton gestations without a prior SPTB at 18 0/7 - 23 6/7 week, the time of the "anatomy" scan. Women with prior SPTB were excluded from this study. The primary outcome included the incidence of threatened PTL, defined as the number of women with singleton gestations without prior SPTB who presented with threatened PTL to our labor and delivery (L&D) triage unit ...Continue Reading

References

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Citations

Jan 25, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Giovanni NazzaroMariavittoria Locci
Aug 31, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Heather R MastersEmily DeFranco
Sep 26, 2019·The Cochrane Database of Systematic Reviews·Vincenzo Berghella, Gabriele Saccone
Jan 11, 2021·American Journal of Obstetrics & Gynecology MFM·Enrica MastantuoniUNKNOWN Italian Preterm Birth Prevention Working Group
Feb 11, 2021·Journal of Clinical Medicine·Lee ReicherYariv Yogev
Jul 31, 2021·Archives of Gynecology and Obstetrics·Anat LavieHaim Arie Abenhaim
Dec 11, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Júlia PonceMontse Palacio

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