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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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1619-3997
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Transvaginal ultrasonographic measurement of cervical length in predicting intra-amniotic infection and impending preterm delivery in preterm labor: a comparison with amniotic fluid white blood cell count

Kyo Hoon Park1 / Joon-Seok Hong2 / Woong Sun Kang3 / Dong Myung Shin4

1Departments of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea

2Departments of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea

3Departments of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea

4Departments of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea

Corresponding author: Kyo Hoon Park, MD, PhD Department of Obstetrics and Gynecology Seoul National University Bundang Hospital 300 Gumi-dong, Bundang-gu, Seongnam-si Gyeonggi-do, 463-707 Korea Tel.: +82-31-787-7252 Fax: +82-31-787-4054

Citation Information: Journal of Perinatal Medicine. Volume 36, Issue 6, Pages 479–484, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: https://doi.org/10.1515/JPM.2008.071, July 2008

Publication History

Received:
2007-12-14
Revised:
2008-04-10
Accepted:
2008-04-14
Published Online:
2008-07-24

Abstract

Aims: To determine whether sonographic measurement of cervical length predicts intra-amniotic infection and impending preterm delivery (within 7 days of amniocentesis) in women with preterm labor and intact membranes, and to compare the predictability with that of amniotic fluid (AF) white blood cell (WBC) count.

Methods: Transvaginal ultrasonographic assessment of cervical length was performed immediately after amniocentesis in 67 consecutive women with preterm labor. AF obtained by amniocentesis was cultured for aerobic and anaerobic bacteria and for Mycoplasmas, and WBC count was determined.

Results: Patients with a positive AF culture had a significantly shorter median cervical length, higher median AF WBC count, and lower median gestational age at delivery than did those with a negative AF culture. Multivariate analysis indicated that only the AF WBC count bears a significant relationship with the presence of intra-amniotic infection, whereas only cervical length correlates with impending preterm delivery.

Conclusions: Transvaginal sonographic measurements of cervical length are a valuable method for predicting intra-amniotic infection as well as impending preterm delivery in women with preterm labor. However, in comparison with AF WBC, cervical length is less predictive for intra-amniotic infection, whereas cervical length demonstrates better predictability of impending preterm delivery.

Keywords: Amniotic fluid white blood cell count; cervical length; intra-amniotic infection; preterm labor

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[1]
Edgar Hernandez-Andrade, Roberto Romero, Hyunyoung Ahn, Youssef Hussein, Lami Yeo, Steven J. Korzeniewski, Tinnakorn Chaiworapongsa, and Sonia S. Hassan
Journal of Maternal-Fetal and Neonatal Medicine, 2012, Volume 25, Number 9, Page 1682
[2]
Kyo Hoon Park, Sung Youn Lee, Shi Nae Kim, Eun Ha Jeong, Kyung Joon Oh, and Aeli Ryu
Journal of Perinatal Medicine, 2012, Volume 40, Number 2
[3]
H. J. Jung, K. H. Park, S. N. Kim, J.-S. Hong, K. J. Oh, G. Kim, and J. Y. Kwon
Ultrasound in Obstetrics & Gynecology, 2011, Volume 37, Number 1, Page 82

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