Re: CX U/S

From: Mary C. Scarboro (case@mediaone.net)
Wed Dec 3 22:54:27 1997


Wayne,

I see that you have an interest in cervical u/s so I wonder if I could pose aquestion or two to you or any list member regarding this exam PTD risks.

When reporting a cx length with +/- beaking, how is the amount or degree of effacement reported? Example: mod beaking and 10mm cx (closed portion) or assumes a total length of ...say 20-40mm. Then we may say mild beaking and 10mm cx (mild being < 25%) assumes a total length of 13-14mm.

I imagine the trimester/hx/mult. gest/LUS ctx/softening/DES/operator experience/dynamic change... influence the risk, but how can and should these variables be factored in to predict risk of PTD? I still like the old 30% risk of PTD w/beaking at <30wks.

Maybe this was Romero...? I don't have references with me, but I think it seems to hold true as a general rule from my experience.

Mary C. S.




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