Shiraz E-Medical Journal

Published by: Kowsar

Predictive Value of Cervical Length Measurement by Transvaginal and Transperineal Ultrasonography for Preterm Delivery

Homeira Vafaei 1 , Farideh Khorami 1 , Seyed Taghi Heydari 2 , * and Fariborz Ghaffarpasand 3
Authors Information
1 Department of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, IR Iran
2 Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, IR Iran
3 Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran
Article information
  • Shiraz E-Medical Journal: October 01, 2014, 15 (3); e19352
  • Published Online: September 27, 2014
  • Article Type: Research Article
  • Received: April 8, 2014
  • Revised: August 26, 2014
  • Accepted: August 30, 2014
  • DOI: 10.17795/semj19352

To Cite: Vafaei H, Khorami F, Heydari S T, Ghaffarpasand F. Predictive Value of Cervical Length Measurement by Transvaginal and Transperineal Ultrasonography for Preterm Delivery, Shiraz E-Med J. 2014 ; 15(3):e19352. doi: 10.17795/semj19352.

Copyright © 2014, Shiraz University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Yazici G, Yildiz A, Tiras MB, Arslan M, Kanik A, Oz U. Comparison of transperineal and transvaginal sonography in predicting preterm delivery. J Clin Ultrasound. 2004; 32(5): 225-30[DOI][PubMed]
  • 2. da Fonseca EB, Damiao R, Nicholaides K. Prevention of preterm birth based on short cervix: progesterone. Semin Perinatol. 2009; 33(5): 334-7[DOI][PubMed]
  • 3. Celik E, To M, Gajewska K, Smith GC, Nicolaides KH, Fetal Medicine Foundation Second Trimester Screening G. Cervical length and obstetric history predict spontaneous preterm birth: development and validation of a model to provide individualized risk assessment. Ultrasound Obstet Gynecol. 2008; 31(5): 549-54[DOI][PubMed]
  • 4. DeFranco EA, O'Brien JM, Adair CD, Lewis DF, Hall DR, Fusey S, et al. Vaginal progesterone is associated with a decrease in risk for early preterm birth and improved neonatal outcome in women with a short cervix: a secondary analysis from a randomized, double-blind, placebo-controlled trial. Ultrasound Obstet Gynecol. 2007; 30(5): 697-705[DOI][PubMed]
  • 5. Cunningham F, Leveno K, Bloom S, Hauth J, Rouse D, Spong C. Williams Obstetrics: 23rd Edition: 23rd Edition. 2009;
  • 6. Kurtzman JT, Goldsmith LJ, Gall SA, Spinnato JA. Transvaginal versus transperineal ultrasonography: a blinded comparison in the assessment of cervical length at midgestation. Am J Obstet Gynecol. 1998; 179(4): 852-7[PubMed]
  • 7. Meijer-Hoogeveen M, Stoutenbeek P, Visser GH. Transperineal versus transvaginal sonographic cervical length measurement in second- and third-trimester pregnancies. Ultrasound Obstet Gynecol. 2008; 32(5): 657-62[DOI][PubMed]
  • 8. Liabsuetrakul T, Suntharasaj T, Suwanrath C, Leetanaporn R, Rattanaprueksachart R, Tuntiseranee P. Serial translabial sonographic measurement of cervical dimensions between 24 and 34 weeks' gestation in pregnant Thai women. Ultrasound Obstet Gynecol. 2002; 20(2): 168-73[DOI][PubMed]
  • 9. Torkildsen EA, Salvesen KA, Eggebo TM. Prediction of delivery mode with transperineal ultrasound in women with prolonged first stage of labor. Ultrasound Obstet Gynecol. 2011; 37(6): 702-8[DOI][PubMed]
  • 10. Meijer-Hoogeveen M, Stoutenbeek P, Visser GH. Methods of sonographic cervical length measurement in pregnancy: a review of the literature. J Matern Fetal Neonatal Med. 2006; 19(12): 755-62[DOI][PubMed]
  • 11. Hoesli I, Tercanli S, Holzgreve W. Cervical length assessment by ultrasound as a predictor of preterm labour--is there a role for routine screening? BJOG. 2003; 110 Suppl 20: 61-5[PubMed]
  • 12. Haas DM, Caldwell DM, Kirkpatrick P, McIntosh JJ, Welton NJ. Tocolytic therapy for preterm delivery: systematic review and network meta-analysis. BMJ. 2012; 345[DOI][PubMed]
  • 13. Berghella V, Baxter JK, Hendrix NW. Cervical assessment by ultrasound for preventing preterm delivery. Cochrane Database Syst Rev. 2013; 1[DOI][PubMed]
  • 14. Gauthier T, Marin B, Garuchet-Bigot A, Kanoun D, Catalan C, Caly H, et al. Transperineal versus transvaginal ultrasound cervical length measurement and preterm labor. Arch Gynecol Obstet. 2014; 290(3): 465-9[DOI][PubMed]
  • 15. Carr DB, Smith K, Parsons L, Chansky K, Shields LE. Ultrasonography for cervical length measurement: agreement between transvaginal and translabial techniques. Obstet Gynecol. 2000; 96(4): 554-8[PubMed]
  • 16. Bennett SJ, Waterstone JJ, Cheng WC, Parsons J. Complications of transvaginal ultrasound-directed follicle aspiration: a review of 2670 consecutive procedures. J Assist Reprod Genet. 1993; 10(1): 72-7[PubMed]
  • 17. Albrechtsen S, Rasmussen S, Thoresen S, Irgens LM, Iversen OE. Pregnancy outcome in women before and after cervical conisation: population based cohort study. BMJ. 2008; 337[DOI][PubMed]
  • 18. Mella MT, Berghella V. Prediction of preterm birth: cervical sonography. Semin Perinatol. 2009; 33(5): 317-24[DOI][PubMed]
  • 19. Leung TN, Pang MW, Leung TY, Poon CF, Wong SM, Lau TK. Cervical length at 18-22 weeks of gestation for prediction of spontaneous preterm delivery in Hong Kong Chinese women. Ultrasound Obstet Gynecol. 2005; 26(7): 713-7[DOI][PubMed]
  • 20. Gramellini D, Fieni S, Kaihura C, Modena AB. Cervical length as a predictor of preterm delivery: gestational age-related percentiles vs fixed cut-offs. Acta Biomed. 2007; 78(3): 220-4[PubMed]
  • 21. Schmitz T, Kayem G, Maillard F, Lebret MT, Cabrol D, Goffinet F. Selective use of sonographic cervical length measurement for predicting imminent preterm delivery in women with preterm labor and intact membranes. Ultrasound Obstet Gynecol. 2008; 31(4): 421-6[DOI][PubMed]
  • 22. Vendittelli F, Mamelle N, Munoz F, Janky E. Transvaginal ultrasonography of the uterine cervix in hospitalized women with preterm labor. Int J Gynaecol Obstet. 2001; 72(2): 117-25[PubMed]
  • 23. Bagga R, Takhtani M, Suri V, Adhikari K, Arora S, Bhardwaj S. Cervical length and cervicovaginal HCG for prediction of pre-term birth in women with signs and symptoms of pre-term labour. J Obstet Gynaecol. 2010; 30(5): 451-5[DOI][PubMed]
  • 24. Tsoi E, Akmal S, Rane S, Otigbah C, Nicolaides KH. Ultrasound assessment of cervical length in threatened preterm labor. Ultrasound Obstet Gynecol. 2003; 21(6): 552-5[DOI][PubMed]
  • 25. Cicero S, Skentou C, Souka A, To MS, Nicolaides KH. Cervical length at 22-24 weeks of gestation: comparison of transvaginal and transperineal-translabial ultrasonography. Ultrasound Obstet Gynecol. 2001; 17(4): 335-40[DOI][PubMed]
  • 26. Owen J, Neely C, Northen A. Transperineal versus endovaginal ultrasonographic examination of the cervix in the midtrimester: a blinded comparison. Am J Obstet Gynecol. 1999; 181(4): 780-3[PubMed]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments