Cervical length and risk of antepartum hemorrhage in presence of low-lying placenta

Alessandra Curti, Sushma Potti, Nadine Di Donato, Giuliana Simonazzi, Nicola Rizzo, Vincenzo Berghella

Research output: Contribution to journalReview article

8 Scopus citations

Abstract

Objectives: To evaluate whether transvaginal ultrasound cervical length (TVU CL) can predict antepartum bleeding (APB) in women with low-lying placenta. Study design: A retrospective study was performed including pregnancies with low-lying placenta for which third trimester TVU CL was available. Multiple pregnancies were excluded. Short cervix was defined as TVU CL ≤25mm. Outcomes of interest were compared with respect to the TVU CL. Results: Forty three cases of singleton pregnancies complicated by low-lying placenta in third trimester were identified. Short cervix was reported in 8 cases (19%). APB (75% vs. 31 %, p = 0.02), blood transfusions (25% vs. 3%, p = 0.02), lower birth weight (2246 vs. 2985g, p = 0.02), and neonatal intensive care unit (NICU) admissions (50% vs. 17%, p = 0.04) were more frequent in the women with short cervix. Rate of unplanned cesarean delivery for APB was similar between both the groups (25% vs. 28%, p = 0.83). Conclusions: In women with low-lying placenta persisting into third trimester, short cervical length can be used as a predictor for APB.

Original languageEnglish (US)
Pages (from-to)563-565
Number of pages3
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume26
Issue number6
DOIs
StatePublished - Apr 1 2013

    Fingerprint

Keywords

  • Antepartum bleeding
  • Low-lying placenta
  • Short cervix

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this