Les mesures échographiques de la longueur cervicale et de la hauteur de la présentation fœtale sont-elles prédictives de l’issue d’accouchement chez des patientes à terme ?

Conclusion Nos résultats montrent que les mesures échographiques de la longueur cervicale et de la hauteur de présentation fœtale ne font pas mieux que le score de Bishop pour prédire l’issue des grossesses prolongées. Proposé par certains auteurs, l’usage d’un score combinant ces différents paramètres retrouve des résultats prometteurs qui nécessiteraient d’être évalué sur de plus gros effectifs. Objective Post-term pregnancy is frequently associated with higher fetal and maternal morbidity and mortality. Its management essentially depends on clinical cervical characteristics as evaluated by the Bishop score (BS). However, BS is poorly predictive of the delivery outcome. We sought to demonstrate that ultrasound measurement of cervical length and evaluation of fetal height could predict the outcome in post-term pregnancies. Methods A prospective single center study was undertaken between the 21st of January and the 1st of June 2013. Fetal height was measured using a transperineal technique and cervical length was evaluated by a vaginal ultrasound on patients consulting and their term date. C-section rates were considered to be the primary judgment criteria. Results A total of 136 patients were included. C-section rates in this population was 19%. Fetal height and cervical length were not different between the C-section group and the vaginal delivery group. Conclusion Our study demonstrates that ultrasound measurement of cervical length and fetal ...
Source: Gynecologie Obstetrique and Fertilite - Category: OBGYN Source Type: research