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Posture & Cervix: MoreFrom: James Smeltzer (Smeltzer_James@promina.org)Thu May 27 10:22:28 1999
Folks, Besides Guzman & Arabin's study this one was found. TITLE: Maternal postural challenge as a functional test for cervical incompetence. AUTHORS: Wong G; Levine D; Ludmir J AUTHOR AFFILIATION: Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215, USA. SOURCE: J Ultrasound Med 1997 Mar;16(3):169-75 CITATION IDS: PMID: 9166812 UI: 97309397 ABSTRACT: We studied the effect of an upright maternal position on the cervix. Of 41 high risk patients (17 to 33 weeks' gestational age), 14 of 16 who had a greater than 33% decrease in cervical length in the upright position compared to supine position delivered their infants prematurely, compared to 1 of 25 patients who had a decrease of less than 33% (P < 0.0005). No change in the cervical length was noted in 24 low-risk patients, all of whom were delivered at term. When the finding of a cervical length of less than 2 cm was combined with a postural change, the sensitivity for prediction of preterm delivery was 100%. We conclude that for patients at high risk for incompetent cervix, maternal posture-related cervical shortening can assist in predicting those who will undergo premature delivery. I am sure there are more. Jim S
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