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Triage By Cervical Length Sonographic Measurements For Targeted Therapy in Threatened Preterm Labor: A Double Blind Randomized Clinical Trial
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نویسنده
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Vafaei Homeira ,Rahimirad Neda ,Hosseini Marjan ,Kasraeian Maryam ,Asadi Nasrin ,Raeisi Shahraki Hadi ,Bazrafshan Khadijeh
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منبع
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International Journal Of Reproductive Biomedicine - 2017 - دوره : 15 - شماره : 11 - صفحه:697 -702
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چکیده
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Background: preterm labor and birth are associated with several neonatal complications including respiratory distress syndrome and intraventricular hemorrhage. differentiating true and false labor pain is a dilemma to obstetricians. objective: to elucidate the role of cervical length measurement in prediction of birth in pregnant women with threatened preterm labor. materials and methods: in this double blind randomized clinical trial, 120 women with gestational age <34 wk who presented painful uterine contractions randomly assigned to undergo measurement of cervical length. patients were registered in the hospital and a unit number was given. based on the unit numbers, patients were randomly assigned to two groups using a computerized random digit generator. all participants were managed accordingly (n=65) or to receive tocolysis as planned (n=55). tocolysis was prescribed when cervical length was <15 mm while those with cervical length ≥15 mm were managed expectantly. delivery within 7 days of the presentation was the primary outcome. results: this rct showed in case group, 78.9% of patient with cervical length <15 mm were delivered within 7 days and only 21.1% of them maintained their pregnancy. of those with cervical length ≥15 mm, only 15.2% were delivered within the study period and the rest (84.8%) maintained their pregnancy (p<0.001). conclusion: “our results indicate that in women who presented preterm labor symptoms, cervical length measurement will result in decreased unnecessary tocolytic treatment. women with cervical length ≥15 mm should not receive tocolysis, however, withholding corticosteroid therapy in these patients needs further evidence.
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کلیدواژه
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Cervical Length ,Preterm Labor ,Tocolysis ,Ultrasonography.
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آدرس
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Shiraz University Of Medical Sciences, Maternal-Fetal Medicine Research Center, Perinatology Ward, ایران, Shiraz University Of Medical Sciences, Maternal-Fetal Medicine Research Center, Perinatology Ward, ایران, Shiraz University Of Medical Sciences, Department Of Obstetrics And Gynecology, ایران, Shiraz University Of Medical Sciences, Maternal-Fetal Medicine Research Center, Perinatology Ward, ایران, Shiraz University Of Medical Sciences, Maternal-Fetal Medicine Research Center, Perinatology Ward, ایران, Shiraz University Of Medical Sciences, School Of Medicine, Department Of Biostatistics, ایران, Shiraz University Of Medical Sciences, Maternal-Fetal Medicine Research Center, ایران
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بررسی نقش سونوگرافی در تعیین نیاز به درمان در موارد تهدید به زایمان زودرس براساس یافته های سونوگرافی طول دهانه رحم: کارآزمایی بالینی
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Authors
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وفایی حمیرا ,بذرافشان خدیجه ,حسینی سیده مرجان ,کسرائیان مریم ,رحیمی راد ندا ,اسدی نسرین ,ریسی شهرکی هادی
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