The uterocervical angle has been proposed as an ultrasound marker to predict spontaneous preterm birth (Sptb). The aim of this article was to evaluate uterocervical angle (UCA) measured at second trimester of gestation using transvaginal sonography (TVS) as predictors of sPTB In this prospective observational study 122 singleton pregnant women between 12 and 24 weeks were enrolled. A transvaginal ultrasound (TVS) was performed to measure the anterior uterocervical angle (UCA) and compared with preterm (<37 weeks) or term (>37 weeks) birth. The mean age of the patients was 26.02±3.70 years (range: 19‐35 years). Majority of the cases (69.7%) were term delivery (>37 weeks) and 30.3% of cases were pre‐term delivery (<37 weeks). Most of the cases (69.7%) cases had Uterocervical Angle measurement were <95 degree and 30.3% cases had Uterocervical Angle measurement >95 degree. UCA measurement in the second trimester was wider in the preterm group (97.22±8.46 degrees) compared with term group (84.22±73.39 degrees) (p<0.001). Among preterm group 35.1% cases of LSCS and 54.9% cases of Normal Delivery, statistically not significant (p>0.05). Out of total preterm delivery cases 27% baby were (1.5‐2 kg) and 70.3% cases of baby were birth weight of 2.1‐2.5 kg, association were statistically significant (p<0.05). Risk of spontaneous preterm birth was linked to a wide UCA found during the second trimester. The UCA can be utilized as a screening tool for spontaneous preterm birth.
Vibha Dhruw, Paribhashita Tripathi, Harshita Tripathi and Richa Chouksey. Evaluation of Uterocervical Angle in the Second Trimester to Predict Spontaneous Preterm Birth.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.8.557.561
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.8.557.561