الفهرس 
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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.