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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Greenough, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Chappelle, Joseph / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / D'Alton, MD, Mary E. / Dimitrou, G. / Grunebaum, Amos / Hentschel, Roland / Köpcke, W. / Kawabata, Ichiro / Keirse, Marc J.N.C. / Kurjak M.D., Asim / Lee, Ben H. / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Makatsariya, Alexander / Nishida, Hiroshi / Ogata, Edward / Papp, Zoltán / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Romero, Roberto / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Seri, Istvan / Vetter, Klaus / Winn, Hung N. / Young, Bruce K. / Zimmermann, Roland

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Three-dimensional ultrasound power Doppler assessment of the cervix: comparison between nulliparas and multiparas

Alin Basgul1 / Zehra Nese Kavak2 / Nadi Bakırcı3 / Husnu Gokaslan4





Corresponding author: Alin Basgul Cons. MD, Lecturer Marmara University School of Medicine Department of Obstetrics and Gynecology Abide-i Hurriyet Caddesi, No: 144, Ruyam Palas Apartmanı Kat: 3, D: 10, Sisli 34381 Istanbul, Turkey ;

Citation Information: Journal of Perinatal Medicine. Volume 35, Issue 1, Pages 48–50, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: https://doi.org/10.1515/JPM.2007.007, February 2007

Publication History

August 8, 2006
December 11, 2006
December 20, 2006
Published Online:


Aim: To assess the sonographic cervical characteristics between nulliparous and multiparous women.

Subject and methods: Transvaginal three-dimensional ultrasound and power Doppler using the virtual organ computer-aided analysis (VOCAL) program were performed on 71 nulliparas and 59 multiparas at a mean gestational age of 25.3±7.9 weeks. We compared the cervical volume and power Doppler vascularization index (VI), flow index (FI), and vascularization-flow index (VFI) between nulliparas and multiparas.

Results: The mean cervical volume and mean VI, VFI, FI measurements were not significantly different between multiparas and nulliparas.

Conclusion: Our observations suggest that the morphological changes in the cervix of parous women are merely configurational without a change in cervical mass and vascularization. These configurational changes might result from the inevitable cervical streching during labor and represent a healing process that does not involve a subsequent change in mass or vascularity.

Keywords: Cervical volume; parity; power Doppler; pregnancy; three-dimensional ultrasound

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