ABSTRACT
INTRODUCTION: The incidence of preterm delivery has been increasing even in developed countries and remains a serious problem for fetuses and neonates. Although many predictors for preterm delivery have been proposed, complete prediction and prevention have not yet been established. AIMS: To examine the potential association between sonographic measurement of cervical length and threatened preterm birth (TPTB) in pregnant woman at 24-36 weeks of gestation. MATERIALS AND METHODS: A cross-sectional study included a total of 360 pregnant woman at 24-36 weeks of gestation categorized in two groups: TPTB group (n=160) and non TPTB group (n=200). The study was carried out at the Department of Obstetrics and Gynecology of the Clinical Center University of Sarajevo (KCUS). Sociodemographic and clinical characteristics of patients were obtained from medical records and physical examination by gynecologist. Transvaginal sonography was carried out by GE Voluson 730. RESULTS: There was a significant association between TPTB and sonographic measurement of cervical length <25 mm (P<0.001). The logistic regression model was statistically significant, x(2)(7) = 281.530, P<0. 001. The model explained 72.6% of the variance in TPTB and correctly classified 88.1% of cases. Sensitivity was 83.8%, specificity was 91.5%, positive predictive value was 88.7% and negative predictive value was 87.6%. Out of the 7 predictor variables only 5 were statistically significant: cervical length, cervical consistency, rupture of membranes, uterine contractions and amine odor test. CONCLUSION: The findings of this study suggest association between sonographic measurement of cervical length and TPTB.
ABSTRACT
Indications for a late pregnancy interruption on a two-year material (2002-2003) were analyzed. In the stated period, there were 101 interruptions of advanced pregnancy in total, out of which 52 occurred in 2002 and 49 in 2003. Out of the total number of interruptions, social indications were the reason in 54 cases, which amounted to 53.46% of the whole material, wherein they amounted to 53.84% in 2002, and in 2003 to 53.06% of indications for late interruption. Average gestational age of patients was X=15 Weeks in 2002, and X=14 Weeks of pregnancy in 2003. Average age of patients in the first year of research was X=29, and in the second year X=28 years of age. Pregnancy interruption was carried out by prostaglandin induction. Average induction-abortion interval was X=9.2 hours for the first group, and X=8.2 hours for the second one. The increased number of social indications for late interruptions in advanced pregnancies is a result of difficult economic conditions of living, and medical ignorance as well.
Subject(s)
Abortion, Induced , Abortion, Eugenic , Adolescent , Adult , Female , Humans , Pregnancy , Pregnancy Trimester, First , Pregnancy Trimester, Second , Socioeconomic FactorsABSTRACT
Elective repeat cesarean section continues to remain the standard to care at GYK and OBST. Department in Sarajevo. This paper is a study of 216 patients with previous cesarean section who requested and were allowed a trial of labor. One hundred fifty-six (72%) achieved successful vaginal delivery with no maternal or fetal mortality or significant morbidity. Review of the USA literature indicates similar results in other independent studies. Continued accumulation of cases showing the efficacy of post-cesarean section trial of labor should encourage a reassessment of the continuing practice of elective repeat cesarean section.
