Twin Research

Articles

Vaginal Sonography of the Cervix for the Prediction of “Time to Delivery” in ART Twins Gestations

Adrian Shulmana1 c1, Eric Jauniauxa2, Anna Holmesa3, Shlomo Maschiacha4 and Ron Maymona5

a1 Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Tel Hashomer, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. adrian@netvision.net.il

a2 Academic Departments of Royal Free and University College London, UCL Campus, London, UK.

a3 Academic Departments of Royal Free and University College London, UCL Campus, London, UK.

a4 Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center,Tel Hashomer, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

a5 Academic Departments of Royal Free and University College London, UCL Campus, London, UK.

Abstract

The present study aimed to determine a reliable tool to estimate the interval time to delivery in assisted conception twin pregnancies. Mid-gestation cervical length was prospectively measured using transvaginal sonography (TVS) during routine antenatal care. Fifty-seven of 101 suitable women were longitudinally followed and two TVS measurements of their cervical length were obtained, first at approximately 24 weeks gestation and then at approximately 27 weeks gestation. The mean cervical length decreased from 37 ± 12mm at first measurement to 34 ± 11mm at the second one. A linear regression model was found between the time interval of the first (R = 0.656, p < 0.001) and the second (R = 0.435, p < 0.001) assessments and the week of delivery. The current data confirm that the length of the preserved segment of the cervix is an important indicator of its competence. A simple equation using the cervical length (mm) divided by 3 can predict mid gestation scan-to-delivery interval in twin gestation.

Correspondence:

c1 Address for Correspondence: Dr A. Shulman, Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Tel Hashomer, 52621, Israel.

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