Indian Journal of Public Health Research & Development

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Cervical Length and Risk of Hemorrhage in Pregnancies with Placenta Previa


Affiliations
1 Department of Obstetrics and Gynecology, L.L.R.M. Medical College, Meerut, India
2 Department of Obstetrics and Gynecology, L.L.R.M. Medical College, Meerut, UP, India
3 Department of Obstetrics and Gynecology, L.L.R.M. Medical College, Meerut, UP, India
     

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Aim: To find out the relationship between ultrasonographic cervical length and risk of antepartum hemorrhage, preterm delivery and emergency caesarean section in pregnancies with placenta previa.

Material and Methods: We performed transvaginal cervical-length measurements on all singleton gestations with placenta previa admitted in our hospital at or beyond 24 weeks of gestation over a span of one year. A complete follow-up of pregnancy was obtained in all cases till delivery and a retrospective chart review was then performed for these cases to investigate the relationship between cervical length and maternal and neonatal outcome.

Results: Overall 70 patients comprised the study, in whom placenta previa persisted till delivery. Cervical length measurement was 30 mm in 43 (61.4%) cases. Cervical length ranged from 20 to 50 mm with a mean of 35.6±0.90 mm. Majority of subjects (51.9%) in whom measurements were done between 28-32 weeks had cervical length 30 mm. The association between gestational age and cervical length was statistically significant.

Conclusion: In pregnancies with placenta previa, a third-trimester transvaginal sonographic cervical length of 30 mm or less is associated with increased risk for hemorrhage, emergency caesarean section and preterm birth.


Keywords

Placenta Previa, Antepartum Hemorrhage, Transvaginal Sonography, Cervical Length
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  • Cervical Length and Risk of Hemorrhage in Pregnancies with Placenta Previa

Abstract Views: 234  |  PDF Views: 3

Authors

Urmila Karya
Department of Obstetrics and Gynecology, L.L.R.M. Medical College, Meerut, India
Khushboo Varma
Department of Obstetrics and Gynecology, L.L.R.M. Medical College, Meerut, India
Shakun Singh
Department of Obstetrics and Gynecology, L.L.R.M. Medical College, Meerut, UP, India
Abhilasha Gupta
Department of Obstetrics and Gynecology, L.L.R.M. Medical College, Meerut, UP, India

Abstract


Aim: To find out the relationship between ultrasonographic cervical length and risk of antepartum hemorrhage, preterm delivery and emergency caesarean section in pregnancies with placenta previa.

Material and Methods: We performed transvaginal cervical-length measurements on all singleton gestations with placenta previa admitted in our hospital at or beyond 24 weeks of gestation over a span of one year. A complete follow-up of pregnancy was obtained in all cases till delivery and a retrospective chart review was then performed for these cases to investigate the relationship between cervical length and maternal and neonatal outcome.

Results: Overall 70 patients comprised the study, in whom placenta previa persisted till delivery. Cervical length measurement was 30 mm in 43 (61.4%) cases. Cervical length ranged from 20 to 50 mm with a mean of 35.6±0.90 mm. Majority of subjects (51.9%) in whom measurements were done between 28-32 weeks had cervical length 30 mm. The association between gestational age and cervical length was statistically significant.

Conclusion: In pregnancies with placenta previa, a third-trimester transvaginal sonographic cervical length of 30 mm or less is associated with increased risk for hemorrhage, emergency caesarean section and preterm birth.


Keywords


Placenta Previa, Antepartum Hemorrhage, Transvaginal Sonography, Cervical Length

References