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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 / Milner, 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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Volume 38, Issue 5 (Sep 2010)


Longitudinal examination of cervical volume and vascularization changes during the antepartum and postpartum period using three-dimensional and power Doppler ultrasound

Nur Cansu Yılmaz
  • Marmara University Faculty of Medicine, Fetal Medicine Unit, Department of Obstetrics and Gynecology, Istanbul, Turkey
/ Alin Başgül Yiğiter
  • Fetal Medicine Unit, Department of Obstetrics and Gynecology, Istanbul Bilim University School of Medicine, European Florence Nightingale Hospital, Istanbul, Turkey
/ Zehra Nese Kavak
  • Marmara University Faculty of Medicine, Fetal Medicine Unit, Department of Obstetrics and Gynecology, Istanbul, Turkey
/ Birol Durukan
  • Goztepe Education and Research Hospital, Istanbul, Turkey
/ Husnu Gokaslan
  • Marmara University Faculty of Medicine, Fetal Medicine Unit, Department of Obstetrics and Gynecology, Istanbul, Turkey
Published Online: 2010-07-14 | DOI: https://doi.org/10.1515/jpm.2010.087


Objective: To assess longitudinally the changes in cervical volume and vascularization during the peripartum period using three-dimensional ultrasound (3D US) and power Doppler and to determine whether these measures change with gestational complications.

Methods: Longitudinal measurements of cervical dimensions by transvaginal 3D US and power Doppler using the virtual organ computer-aided analysis program were performed at 11–14, 22–24, 32–34 weeks' gestation, and at 6 weeks' postpartum in 111 pregnant women. Comparisons were made between women who delivered at term (vs. preterm), nulliparous (vs. parous), with (vs. without) pre-eclampsia and those with (vs. without) gestational diabetes.

Results: After establishing reference values for each peripartum period for cervical volume, vascularization index (VI) and flow index (FI), we found that the 2nd and 3rd trimester volume, 2nd trimester FI and postpartum VI were different in nulli- vs. multiparous women. Volume and vascularization parameters were unaffected by preterm labor. Second trimester VI and vascularization flow index values were lower in pre-eclamptic vs. non-pre-eclamptic women (P<0.05), but unaffected by gestational diabetes.

Conclusion: Cervical volume and vascularization parameters are not helpful in predicting preterm labor and gestational diabetes, but might be associated with pre-eclampsia.

Keywords: Cervical volume; pregnancy outcome; three-dimensional ultrasound; VOCAL

About the article

Corresponding author: Alin Başgül Yiğiter, Associate Professor, MD Abidei Hurriyet Caddesi No:144 K:3 D:10 34381 Sisli Istanbul Turkey Tel.: +90 506 594 44 63 Fax: +90 212 219 58 29

Received: 2009-03-05

Revised: 2010-02-26

Accepted: 2010-05-03

Published Online: 2010-07-14

Published Online: 2010-07-14

Published in Print: 2010-09-01

Citation Information: Journal of Perinatal Medicine, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: https://doi.org/10.1515/jpm.2010.087. Export Citation

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