PREDICTION OF PRETERM DELIVERY IN PREGNANT WOMEN WITH THREATENED PRETERM LABOR USING TRANSVAGINAL ULTRASOUND AND NEUTROPHILS TO LYMPHOCYTES RATIO

Document Type : Original Article

Authors

1 Department of Obstetrics and Gynecology,Faculty of Medicine –ZagazigUniversity,Egypt.

2 Department of Obstetrics and Gynecology,Faculty of Medicine –ZagazigUniversity,Egypt

3 Department of Obstetrics and Gynecology,Faculty of Medicine –ZagazigUniversity,Egypt

Abstract

Abstract:
Background: Preterm birth, defined as delivery before 37 completed weeks, with an annual incidence of 9-15%, is implicated in approximately two thirds of perinatal mortality worldwide. Preterm births are also associated with neonatal death & with immediate & long-term morbidities, making this a major public health issue. Objectives: This work is improvement of fetal outcome by early prediction of preterm birth in pregnant women presented by threatened preterm labor. Patients and Methods: In this study, we started with 90 women with singleton pregnancies between 24 to 42 weeks. Results: Cervical length, as measured by transvaginal ultrasonography, has been shown to predict preterm birth in asymptomatic low-risk women as well as those presenting with threatened preterm labor.
Conclusions: This study demonstrated that the combined marker is more sensitive & specific for predicting spontaneous preterm delivery in pregnant women with threatened preterm labor in comparison with cervix length, NLR, C Reactive Protein alone

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Zagazig University Medical Journal
Volume 26, Issue 4
Orthopedic Surgery, Obstetrics and Gynecology, Otorhinolaryngology,Anesthesia,General Surgery,Neurosurgery, Ophthalmology,cardiothoracic surgery
July 2020
Pages 556-565

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