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The Feasibility of Cervical Elastography in Predicting Preterm Delivery in Singleton Pregnancy with Short Cervix Following Progesterone Treatment

DC FieldValueLanguage
dc.contributor.author권자영-
dc.contributor.author권하얀-
dc.contributor.author박예진-
dc.contributor.author신정은-
dc.contributor.author정윤지-
dc.contributor.author정인경-
dc.date.accessioned2021-04-29T17:24:44Z-
dc.date.available2021-04-29T17:24:44Z-
dc.date.issued2021-02-
dc.identifier.issn1661-7827-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/182328-
dc.description.abstractPrevious studies demonstrated an association between cervical strain and risk of spontaneous preterm delivery (sPTD). The present study aimed to assess the efficacy of elastography in predicting sPTD at <32 weeks of gestation in women with singleton pregnancies receiving progesterone for short cervix (≤2.5 cm) diagnosed between 16 and 28 weeks of gestation Among 115 participants eligible for analysis, nine had sPTD at <32 weeks. Preprogesterone (PP0) mean internal os strain (IOS), elasticity contrast index (ECI), hardness ratio (HR), one-week postprogesterone (PP1) IOS, mean external os strain (EOS), ECI, and HR were significantly different between groups. Higher PP0 IOS, PP1 IOS, and PP1 EOS were associated with a 2.92, 4.39 and 3.65-fold increase in the risk of sPTD at <32 weeks, respectively (adjusted for cervical length (CL) at diagnosis; p = 0.04, 0.012 and 0.026, respectively). A combination of CL at diagnosis, PP0 IOS and PP1 EOS showed a significantly higher area under the receiver operating characteristic curve (0.858) than that of CL alone (p = 0.041). In women with singleton pregnancies receiving progesterone for short cervix, cervical elastography performed before and one week after progesterone treatment may be useful in predicting sPTD at <32 weeks of gestation.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherMDPI-
dc.relation.isPartOfINTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleThe Feasibility of Cervical Elastography in Predicting Preterm Delivery in Singleton Pregnancy with Short Cervix Following Progesterone Treatment-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Obstetrics and Gynecology (산부인과학교실)-
dc.contributor.googleauthorYun Ji Jung-
dc.contributor.googleauthorHayan Kwon-
dc.contributor.googleauthorJeongeun Shin-
dc.contributor.googleauthorYejin Park-
dc.contributor.googleauthorSeok-Jae Heo-
dc.contributor.googleauthorHyun Soo Park-
dc.contributor.googleauthorSoo-Young Oh-
dc.contributor.googleauthorJi-Hee Sung-
dc.contributor.googleauthorHyun-Joo Seol-
dc.contributor.googleauthorHyun Mi Kim-
dc.contributor.googleauthorWon Joon Seong-
dc.contributor.googleauthorHan Sung Hwang-
dc.contributor.googleauthorInkyung Jung-
dc.contributor.googleauthorJa-Young Kwon-
dc.identifier.doi10.3390/ijerph18042026-
dc.contributor.localIdA00246-
dc.contributor.localIdA00257-
dc.contributor.localIdA04836-
dc.contributor.localIdA06050-
dc.contributor.localIdA04797-
dc.contributor.localIdA03693-
dc.relation.journalcodeJ01111-
dc.identifier.eissn1660-4601-
dc.identifier.pmid33669696-
dc.subject.keywordelastography-
dc.subject.keywordprediction-
dc.subject.keywordpreterm delivery-
dc.subject.keywordprogesterone-
dc.subject.keywordshort cervix-
dc.contributor.alternativeNameKwon, Ja Young-
dc.contributor.affiliatedAuthor권자영-
dc.contributor.affiliatedAuthor권하얀-
dc.contributor.affiliatedAuthor박예진-
dc.contributor.affiliatedAuthor신정은-
dc.contributor.affiliatedAuthor정윤지-
dc.contributor.affiliatedAuthor정인경-
dc.citation.volume18-
dc.citation.number4-
dc.citation.startPage2026-
dc.identifier.bibliographicCitationINTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, Vol.18(4) : 2026, 2021-02-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Biomedical Systems Informatics (의생명시스템정보학교실) > 1. Journal Papers

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