الفهرس | Only 14 pages are availabe for public view |
Abstract Preterm birth (before 37 completed weeks of gestation) is a ‘major cause of [postnatal] death and a significant cause of long-term loss of human potential. There is a substantial long-term health impact from preterm birth due to increased risk both of death and of developing a wide range of chronic physical and neurological disabilities compared to full term births. Approximately 70% of neonatal deaths, 36% of infant deaths, and 25-50% of cases of long-term neurologic impairment in children can be attributed to preterm birth. The percentage of under-five deaths from preterm birth complications is still high in Egypt and our country is ranked as 144 worst on the list of 162 countries with prematurity related deaths comprising about 28.5% of all under-5 deaths in Egypt Cervical length measurement is the most powerful method to predict preterm delivery in women with a history of prior preterm birth. Studies of post-elective cerclage have shown that cervical length is correlated with eventual pregnancy outcome. Some studies showed that prophylactic cerclage procedures resulted in measurable cervical lengthening. It is not known whether this relative restoration of cervical anatomy after prophylactic or urgent cerclage predicts pregnancy outcome. Therefore, this study aims to evaluate the importance of post cerclage-ultrasonographic cervical length measurement in predicting preterm labor. A prospective clinical study was conducted on 44 pregnant women’s who subjected to modified Shirodkar cerclage operation from 14 to 24 weeks’ gestation. All patients attended the Obstetrics and Gynecology outpatient clinic at Menoufia University hospital and Quesna Hospital, Menoufia, Egypt, during the period from October 2016 to August 2018. Clinical and laboratory data of the studied groups were tabulated and statistically analyzed. |