Can the cervical length in mid-trimester predict the use of vacuum in vaginal delivery?
ObjectiveThis study aimed to evaluate whether an increased cervical length (CL) measured in the mid-trimester is associated with vacuum-assisted vaginal delivery.MethodsThis retrospective cohort study included women who delivered vaginally in Seoul National University Bundang Hospital (n=820) and Bo...
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| Format: | Article |
| Language: | English |
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Korean Society of Obstetrics and Gynecology
2020-01-01
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| Series: | Obstetrics & Gynecology Science |
| Subjects: | |
| Online Access: | http://ogscience.org/upload/pdf/ogs-63-35.pdf |
| _version_ | 1819226615475863552 |
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| author | Jee Yoon Park Sun Min Kim Jeenah Sohn Sejin Kim Eunjin Song Byoung Jae Kim Hye Won Jeon |
| author_facet | Jee Yoon Park Sun Min Kim Jeenah Sohn Sejin Kim Eunjin Song Byoung Jae Kim Hye Won Jeon |
| author_sort | Jee Yoon Park |
| collection | DOAJ |
| description | ObjectiveThis study aimed to evaluate whether an increased cervical length (CL) measured in the mid-trimester is associated with vacuum-assisted vaginal delivery.MethodsThis retrospective cohort study included women who delivered vaginally in Seoul National University Bundang Hospital (n=820) and Boramae Medical Center (n=509) between January 2017 and February 2019. Multifetal pregnancies and preterm births before 37 weeks of gestation were excluded. Only those cases in which CL was measured at 18–22 weeks of gestation for the purpose of screening for preterm birth risk in each institution were analyzed (n=537). Other significant risk factors were reviewed.ResultsThe median gestational age at delivery was 39.4 weeks (range, 37.0–41.6 weeks); 18.6% (100/537) were vacuum-assisted delivery. There was no relationship between mid-trimester CL and vacuum-assisted delivery (odds ratio [OR], 0.96; 95% confidence interval [CI], 0.57–1.62), while nulliparity was associated with a higher risk (OR, 3.64; 95% CI, 1.55–8.57) than multiparity. When the population was divided into 3 groups by CL range, vacuum-assisted delivery rates increased as CL length increased in nulliparous women.ConclusionMid-trimester CL did not predict the need for vacuum-assisted vaginal delivery. |
| first_indexed | 2024-12-23T10:28:18Z |
| format | Article |
| id | doaj.art-7da33ec6e70f48d49474f23aaf9d6dd9 |
| institution | Directory Open Access Journal |
| issn | 2287-8572 2287-8580 |
| language | English |
| last_indexed | 2024-12-23T10:28:18Z |
| publishDate | 2020-01-01 |
| publisher | Korean Society of Obstetrics and Gynecology |
| record_format | Article |
| series | Obstetrics & Gynecology Science |
| spelling | doaj.art-7da33ec6e70f48d49474f23aaf9d6dd92022-12-21T17:50:31ZengKorean Society of Obstetrics and GynecologyObstetrics & Gynecology Science2287-85722287-85802020-01-01631354110.5468/ogs.2020.63.1.35647Can the cervical length in mid-trimester predict the use of vacuum in vaginal delivery?Jee Yoon Park0Sun Min Kim1Jeenah Sohn2Sejin Kim3Eunjin Song4Byoung Jae Kim5Hye Won Jeon6Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, .KoreaDepartment of Obstetrics and Gynecology, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, .KoreaDepartment of Obstetrics and Gynecology, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, .KoreaDepartment of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, .KoreaDepartment of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, .KoreaDepartment of Obstetrics and Gynecology, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, .KoreaDepartment of Obstetrics and Gynecology, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, .KoreaObjectiveThis study aimed to evaluate whether an increased cervical length (CL) measured in the mid-trimester is associated with vacuum-assisted vaginal delivery.MethodsThis retrospective cohort study included women who delivered vaginally in Seoul National University Bundang Hospital (n=820) and Boramae Medical Center (n=509) between January 2017 and February 2019. Multifetal pregnancies and preterm births before 37 weeks of gestation were excluded. Only those cases in which CL was measured at 18–22 weeks of gestation for the purpose of screening for preterm birth risk in each institution were analyzed (n=537). Other significant risk factors were reviewed.ResultsThe median gestational age at delivery was 39.4 weeks (range, 37.0–41.6 weeks); 18.6% (100/537) were vacuum-assisted delivery. There was no relationship between mid-trimester CL and vacuum-assisted delivery (odds ratio [OR], 0.96; 95% confidence interval [CI], 0.57–1.62), while nulliparity was associated with a higher risk (OR, 3.64; 95% CI, 1.55–8.57) than multiparity. When the population was divided into 3 groups by CL range, vacuum-assisted delivery rates increased as CL length increased in nulliparous women.ConclusionMid-trimester CL did not predict the need for vacuum-assisted vaginal delivery.http://ogscience.org/upload/pdf/ogs-63-35.pdfvacuum extractionoperative birthdeliverycesarean section |
| spellingShingle | Jee Yoon Park Sun Min Kim Jeenah Sohn Sejin Kim Eunjin Song Byoung Jae Kim Hye Won Jeon Can the cervical length in mid-trimester predict the use of vacuum in vaginal delivery? Obstetrics & Gynecology Science vacuum extraction operative birth delivery cesarean section |
| title | Can the cervical length in mid-trimester predict the use of vacuum in vaginal delivery? |
| title_full | Can the cervical length in mid-trimester predict the use of vacuum in vaginal delivery? |
| title_fullStr | Can the cervical length in mid-trimester predict the use of vacuum in vaginal delivery? |
| title_full_unstemmed | Can the cervical length in mid-trimester predict the use of vacuum in vaginal delivery? |
| title_short | Can the cervical length in mid-trimester predict the use of vacuum in vaginal delivery? |
| title_sort | can the cervical length in mid trimester predict the use of vacuum in vaginal delivery |
| topic | vacuum extraction operative birth delivery cesarean section |
| url | http://ogscience.org/upload/pdf/ogs-63-35.pdf |
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