Cervicometry is the only method for prediction and diagnosis of threatened preterm birth
AbstractLack of understanding of the pathogenesis of preterm birth leads to frequent overdiagnosis and polypharmacy: unnecessary hospitalizations, antenatal use of glucocorticosteroids, and prescription of tocolytics. The only barrier to unreasonable interventions is the thesis in the clinical guidelines about the inappropriateness of tocolytic therapy in the presence of normal cervical length indicators with transvaginal ultrasound cervicometry and a negative biochemical test. In routine practice, under the conditions of existing financing channels, this combination becomes unprofitable for the institution, and therefore unattractive. In addition, the accuracy of biochemical tests is not absolute. The current situation requires search for other diagnostic algorithms, less expensive, but no less informative than those prescribed by current clinical guidelines.
The aim of the study was to determine the predictive value of a negative result of transvaginal ultrasound cervicometry as a routine method for diagnosing threatened preterm labor.
Results. Transvaginal ultrasound cervicometry using a standard technique in the absence of uterine contractility showed high prognostic value.
Keywords:preterm birth; prediction; transvaginal ultrasound cervicometry; increased profitability
Funding. The study had no sponsor support.
Conflict of interest. The authors declare no conflict of interest.
Contribution. Writing the article, correcting the article, approving the final version for publication – Knyazev S.A., Fatkullina L.S.; data collection, statistical data processing, article writing, article correction – Andreeva A.D., Magomedbekova Z.A.
For citation: Knyazev S.A., Andreeva A.D., Magomedbekova Z.A., Fatkullina L.S. Cervicometry is the only method for prediction and diagnosis of threatened preterm birth. Akusherstvo i ginekologiya: novosti, mneniya, obuchenie [Obstetrics and Gynecology: News, Opinions, Training]. 2024; 12. Supplement: 25–9. DOI: https://doi.org/10.33029/2303-9698-2024-12-suppl-25-29 (in Russian)
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