prikaz prve stranice dokumenta Is sonographic assessment of cervical length better than digital examination in screening for preterm delivery in a low-risk population?
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Scientific paper - Original scientific paper
Is sonographic assessment of cervical length better than digital examination in screening for preterm delivery in a low-risk population?
Acta Obstetricia et Gynecologica Scandinavica, 85 (2006), 11; 1342-1347. https://doi.org/10.1080/00016340600935722
Matijević, Ratko; Grgić, Ozren; Vasilj, Oliver

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Matijević, R., Grgić, O. & Vasilj, O. (2006). Is sonographic assessment of cervical length better than digital examination in screening for preterm delivery in a low-risk population?. Acta Obstetricia et Gynecologica Scandinavica, 85. (11), 1342-1347. doi: 10.1080/00016340600935722

Matijević, Ratko, et al. "Is sonographic assessment of cervical length better than digital examination in screening for preterm delivery in a low-risk population?." Acta Obstetricia et Gynecologica Scandinavica, vol. 85, no. 11, 2006, pp. 1342-1347. https://doi.org/10.1080/00016340600935722

Matijević, Ratko, Ozren Grgić and Oliver Vasilj. "Is sonographic assessment of cervical length better than digital examination in screening for preterm delivery in a low-risk population?." Acta Obstetricia et Gynecologica Scandinavica 85, no. 11 (2006): 1342-1347. https://doi.org/10.1080/00016340600935722

Matijević, R., Grgić, O. and Vasilj, O. (2006) 'Is sonographic assessment of cervical length better than digital examination in screening for preterm delivery in a low-risk population?', Acta Obstetricia et Gynecologica Scandinavica, 85(11), pp. 1342-1347. doi: 10.1080/00016340600935722

Matijević R, Grgić O, Vasilj O. Is sonographic assessment of cervical length better than digital examination in screening for preterm delivery in a low-risk population?. Acta Obstetricia et Gynecologica Scandinavica [Internet]. 2006 [cited 2024 November 07];85(11):1342-1347. doi: 10.1080/00016340600935722

R. Matijević, O. Grgić and O. Vasilj, "Is sonographic assessment of cervical length better than digital examination in screening for preterm delivery in a low-risk population?", Acta Obstetricia et Gynecologica Scandinavica, vol. 85, no. 11, pp. 1342-1347, 2006. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:262128. [Accessed: 07 November 2024]

Metadata
Title (english)Is sonographic assessment of cervical length better than digital examination in screening for preterm delivery in a low-risk population?
AuthorRatko Matijević
AuthorOzren Grgić
AuthorOliver Vasilj
Author's institutionUniversity of Zagreb
School of Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (english)
BACKGROUND: This randomized controlled trial compared the diagnostic accuracy of the sonographic assessment of cervical length and clinical digital examination of the cervix in the second trimester regarding the prediction of preterm delivery in a low-risk population. ----- METHODS: In total, 282 unselected, asymptomatic women with singleton pregnancy randomly underwent sonographic cervical length measurement (study group, n=138) or clinical digital examination (control group, n=144) in the second trimester. In the study group cervical length <or=5th percentile (<or=24 mm) for our population was defined as shortened. In the control group, Bishop score >or=95th percentile (>or=4) for our population was defined as high. The primary outcome measure was the diagnostic accuracy of both tests regarding the prediction of preterm delivery (<37 weeks). Results: Shortened cervical length was found in 6/138 (4.3%) women whereas the high Bishop score was found in 17/144 (11.8%) (p=0.038, Fisher's exact test). The incidence of preterm delivery was 5.7% (16/282). Regarding the prediction of preterm delivery, shortened cervical length and high Bishop score had sensitivity 57.1% versus 33.3% and positive predictive value 66.7% versus 17.6%. Shortened cervical length in comparison with high Bishop score had 12-fold higher positive likelihood ratio for preterm delivery in a low-risk population (37.4; 95%CI [8.2-170.7] versus 3.2; 95%CI [1.1-9.2]). ----- CONCLUSION: Sonographic assessment of cervical length has better diagnostic accuracy in the prediction of preterm delivery compared to digital examination in a low-risk population.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionAccepted version
Journal titleActa Obstetricia et Gynecologica Scandinavica
Numberingvol. 85, no. 11, pp. 1342-1347
p-ISSN0001-6349
DOIhttps://doi.org/10.1080/00016340600935722
URN:NBNurn:nbn:hr:105:262128
Publication2006
Document URLhttps://doi.org/10.1080/00016340600935722
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-03-28 11:22:31