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Ultrasound Exam of Cervical Length

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1. Ultrasound Exam of Cervical Length

Ultrasound Exam of Cervical Length Ultrasound Exam of Cervical Length Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Ultrasound Exam (...) of Cervical Length Ultrasound Exam of Cervical Length Aka: Ultrasound Exam of Cervical Length , Uterine Cervix Assessment by Ultrasound , Preterm Labor Assessment with Ultrasound , Cervical Length II. Indications III. Protocol No pressure on , observe 5 minutes Take 3 measurements and length is the shortest of 3 IV. Exam: Normal course of Cervical Length Wide variation in Cervical Lengths at 22-30 weeks Length of 2.0 cm: 5th percentile Length of 2.5 cm: 10th percentile Length of 3.5 cm: 50th percentile

2018 FP Notebook

2. Combined value of placental alpha microglobulin‐1 detection and cervical length via transvaginal ultrasound in the diagnosis of preterm labor in symptomatic patients (PubMed)

Combined value of placental alpha microglobulin‐1 detection and cervical length via transvaginal ultrasound in the diagnosis of preterm labor in symptomatic patients We aimed to evaluate the combined value of placental alpha microglobulin-1 (PAMG-1) and cervical length (CL) via transvaginal ultrasound for assessing risk of imminent spontaneous preterm delivery in patients presenting with threatened preterm labor (PTL).Clinical exam, PAMG-1 test, cardiotocography, and CL measurement via (...) transvaginal ultrasound were performed on all patients meeting inclusion criteria. Ninety-nine patients at 22+0 -36+6 gestational weeks with the symptoms of PTL were included. The interval between sample collection and delivery was measured for each method.Performance metrics were calculated for PAMG-1 test, CL < 25 mm, and contractions ≥ 8/h. The sensitivity, specificity, positive predictive value, and negative predictive value for the PAMG-1 test were 100%, 95%, 75%, 100% and 100%, 98%, 88%, 100% for 7

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2017 The journal of obstetrics and gynaecology research

3. Cervical Cerclage for Preventing Spontaneous Preterm Birth in Singleton Pregnancies Without Prior Spontaneous Preterm Birth and With Short Transvaginal Ultrasound Cervical Length

Cervical Cerclage for Preventing Spontaneous Preterm Birth in Singleton Pregnancies Without Prior Spontaneous Preterm Birth and With Short Transvaginal Ultrasound Cervical Length Cervical Cerclage for Preventing Spontaneous Preterm Birth in Singleton Pregnancies Without Prior Spontaneous Preterm Birth and With Short Transvaginal Ultrasound Cervical Length - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results (...) information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Cervical Cerclage for Preventing Spontaneous Preterm Birth in Singleton Pregnancies Without Prior Spontaneous Preterm Birth and With Short Transvaginal Ultrasound Cervical Length The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing

2016 Clinical Trials

4. Predicting asymptomatic cervical dilation in pregnant patients with short mid-trimester cervical length: a secondary analysis of a randomized controlled trial. (PubMed)

Predicting asymptomatic cervical dilation in pregnant patients with short mid-trimester cervical length: a secondary analysis of a randomized controlled trial. Second trimester asymptomatic cervical dilation is a significant risk factor for early preterm birth. The objective of this study is to evaluate whether transvaginal ultrasound cervical length (CL) predicts asymptomatic cervical dilation on physical exam in women with short cervix (CL ≤25 mm) and no prior preterm birth.Secondary analysis (...) of a randomized trial on pessary in asymptomatic singletons without prior preterm birth diagnosed with CL ≤25 mm between 18+0/7 and 23+6/7  weeks. Participants had transvaginal ultrasound and physical cervical exam and were randomized to pessary or no pessary with all patients with cervical length ≤20 mm offered vaginal progesterone. The primary outcome was to determine whether CL was predictive of asymptomatic physical cervical dilation ≥1 cm using receiver operating characteristic curve.In all, 119 women

2019 Acta Obstetricia et Gynecologica Scandinavica

5. Ultrasound Exam of Cervical Length

Ultrasound Exam of Cervical Length Ultrasound Exam of Cervical Length Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Ultrasound Exam (...) of Cervical Length Ultrasound Exam of Cervical Length Aka: Ultrasound Exam of Cervical Length , Uterine Cervix Assessment by Ultrasound , Preterm Labor Assessment with Ultrasound , Cervical Length II. Indications III. Protocol No pressure on , observe 5 minutes Take 3 measurements and length is the shortest of 3 IV. Exam: Normal course of Cervical Length Wide variation in Cervical Lengths at 22-30 weeks Length of 2.0 cm: 5th percentile Length of 2.5 cm: 10th percentile Length of 3.5 cm: 50th percentile

2015 FP Notebook

6. Transvaginal Ultrasound Cervical Length Measurements in Twin Gestations

and cerclage depending on the cervical length. The control group had digital cervical exams and routine transvaginal cervical length ultrasound was not utilized. The primary outcome was the mean length of gestation. Secondary outcomes included percentage of deliveries < 35 weeks, maternal and neonatal outcomes. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 125 participants Allocation: Randomized Intervention Model: Parallel Assignment (...) of the transvaginal cervical length ultrasound measurements. Other: Transvaginal ultrasound determination of cervical length Transvaginal ultrasound was used to measure the length of the cervix from the internal to external os relying on a standard approach and clinicians caring for the patients were made aware of the results. Routine Care Clinicians managing the patients were not aware of any transvaginal cervical length ultrasound measurements. Other: Routine care Routine prenatal care of twins. Digital exams

2015 Clinical Trials

7. Evaluation of additive effect of quantitative fetal fibronectin to cervical length for prediction of spontaneous preterm birth among asymptomatic low-risk women. (PubMed)

Evaluation of additive effect of quantitative fetal fibronectin to cervical length for prediction of spontaneous preterm birth among asymptomatic low-risk women. Our objective was to evaluate the possible additive effect of quantitative fetal fibronectin to transvaginal ultrasound cervical length measurement between 18(0/7) and 23(6/7)  weeks for prediction of spontaneous preterm birth at <37(0/7)  weeks among asymptomatic low-risk women.A prospective observational study was performed (...) of asymptomatic women with singleton gestations between 18(0/7) and 23(6/7)  weeks and no prior spontaneous preterm birth. Women with multiple gestations, rupture of membranes, vaginal bleeding, intercourse or vaginal exam within 48 h of enrollment were excluded. Physicians were blinded to the quantitative fetal fibronectin levels, but the cervical length measurements were made available. The primary outcome was spontaneous preterm birth at <37(0/7)  weeks.Of the 528 asymptomatic low-risk women who were

2016 Acta Obstetricia et Gynecologica Scandinavica

8. Ultrasound for Twin and Multiple Pregnancies

length when ultrasound is used in either screening for risk of preterm birth, or in the assessment of spontaneous preterm labour. Note: there is insufficient data to recommend a routine preterm labour surveillance protocol i.e., frequency, timing, and optimal cervical length thresholds. ? Routinely report presence of normal fetal movements, and perform a biophysical profile (BPP) at 28 weeks onward for assessment of fetal well-being and manage as per the Toward Optimized Practice Third Trimester (...) of each individual e.g., as Fetus 1/Fetus 2 early in the pregnancy and do not change assignment. o Level of amniotic fluid in multiples at each ultrasound visit using deepest vertical pocket (DVP) measured in both gestational sacs and compare: ? Oligohydramnios is defined as 8 cm. ? At each assessment, a free-floating dividing membrane should be visualized, and ideally the DVP should be imaged in view of the dividing membrane. ? Consider performing endovaginal ultrasound measurement of closed cervical

2017 Toward Optimized Practice

9. AIUM Practice Parameter for the Performance of Limited Obstetric Ultrasound Examinations by Advanced Clinical Providers

(BPP) may be performed to assess fetal well-being. 13 The ultrasound component monitors fetal movement, fetal tone, fetal breathing movements, and amniotic ?uid volume. This study may be done in conjunctionwithfetal heart ratemonitoring. Other specialized examinations such as transvagi- nal cervical length measurement for risk strati?cation with respect to preterm delivery may be performed if the advanced clinical provider has attained additional education and competency quali?cations and partici (...) , if estimating fetal weight FL Uterus, adnexa BPP (if requested) ALARA: TIB (ratio linear measurements should be used and added together to obtain the cervical length Dynamic cervical shortening: exam time 3–5 minutes and/or suprapubic/fundal pressure Record shortest best measurement Adapted from the Perinatal Quality Foundation. 14 J_ID: JUM Customer A_ID: JUM14677 Cadmus Art: JUM14677 Ed. Ref. No.: JUM_0416AIUM Date: 25-June-18 Stage: Page: 1593 ID: kannanb Time: 12:44 I Path: //chenas03/Cenpro

2018 American Institute of Ultrasound in Medicine

10. Standards for obstetrical ultrasound assessments

assessment (SDP) Placenta Yes Evaluate location, appearance, cord insertion and relationship to internal cervical os Fetal position Yes After 23wks 0d Cervix Yes Assess for internal os funneling and length MULTIPLE GESTATION Membrane Yes Report to include chorionicity and amnionicity Third trimester (27wks 0d – term) ultrasound scan (minimum requirements) Item Image Documentation required Notes Fetal number Yes Fetal heart rate Yes Amniotic fluid volume Yes Single deepest pocket - SDP Fetal position Yes (...) ? ? ? ? ? ? ? ? 17 APPENDIX 4 – CONTACT INFORMATION AND FDS REFERRAL CRITERIA ? ? ? ? 19 APPENDIX 5 – PGSP MINIMUM REPORTING STANDARDS FOR NUCHAL TRANSLUCENCY ULTRASOUND MEASUREMENTS ? ? ? ? ? ? ? ? ? ? ? ? 20 APPENDIX 6 – CROWN RUMP LENGTH (CRL) CHART ? ? ? ? ? ? ? ? ? ? ? ? ? ? 22 APPENDIX 7 – INTERGROWTH 21ST FETAL GROWTH STANDARDS REVIEW ? ? 23 APPENDIX 8 – AMNIOTIC FLUID VOLUME ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? 24 APPENDIX 9 – SOGC – 1ST TRIMESTER DATING ULTRASOUND ? ? ? ? ? ? ? ? ? 27 APPENDIX 10

2016 CPG Infobase

11. Transvaginal cervical length scans to prevent prematurity in twins: a randomized controlled trial. (PubMed)

delivering <35 weeks did not differ between twin gestations managed with TVCL and digital exams monthly from 16-28 weeks with a standard algorithm for activity restriction and cerclage and controls who had monthly digital cervical examinations but no routine TVCL. Routine second-trimester transvaginal ultrasound assessment of cervical length is not associated with improved outcomes when incorporated into the standard management of otherwise low-risk twin pregnancies.Published by Elsevier Inc. (...) , cerclage, and most recently, progesterone. Unfortunately, none have proven effective. Recent metaanalyses and reviews suggest that transvaginal cervical length (TVCL) ultrasound in the second trimester is a powerful predictor of preterm birth among asymptomatic women. Indeed, TVCL has the highest positive and negative predictive values for determining the risk of spontaneous preterm delivery in twin pregnancies. It follows that TVCL assessment may allow identification of a subset of twin pregnancies

2015 American Journal of Obstetrics and Gynecology

12. Patient Attitudes Toward Ultrasound Measurement of Cervical Length

regimen. Patients will be randomized into one of three groups: Standard US evaluation Sequential US evaluation Transvaginal cervical length screening Maternal demographics including maternal age, height, weight, parity, and gestational age will be collected from the patient as part of the patient questionnaire. Ultrasound exam data including measurements of the fetal biometry, presence of fetal anomalies, placental location and amniotic fluid volume will be collected from the official ultrasound (...) Patient Attitudes Toward Ultrasound Measurement of Cervical Length Patient Attitudes Toward Ultrasound Measurement of Cervical Length - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Patient Attitudes Toward

2011 Clinical Trials

13. Inpatient Versus Outpatient Foley Cervical Ripening Study

presentation confirmed with an ultrasound at the time of presentation for induction of labor Cervical exam with Bishop Score <6 Intact membranes Normal vital signs (blood pressure < 140/90, normal body temperature) at the time of presentation for Induction of Labor and within the last 24 hours Maternal age ≥18 years of age Exclusion Criteria: Any contraindication for vaginal birth by institutional policy Multiple gestation History of cesarean delivery Oligohydramnios/polyhydramnios/anhydramnios (MVP <2cm (...) Inpatient Versus Outpatient Foley Cervical Ripening Study Inpatient Versus Outpatient Foley Cervical Ripening Study - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Inpatient Versus Outpatient Foley Cervical

2018 Clinical Trials

14. Effect of Maternal BMI on Measurement of Cervical Length

2nd or 3rd trimester of pregnancy. All consecutive pregnant patients in 2nd or 3rd trimester who will attend our unit for routine ultrasound exam will be asked to participate. Cervical length will be assessed in all patients, once abdominally and then vaginally (that would serve as golden standard). Correlation would be assessed between accuracy of measurement to BMI. Accuracy would be defind as the delta of cervical length between abdominal and vaginal routs. BMI would be calculated prior (...) to the ultrasound exam (by weighing and measuring all patients). Study Design Go to Layout table for study information Study Type : Observational Estimated Enrollment : 300 participants Observational Model: Cohort Time Perspective: Prospective Official Title: Effect of Maternal BMI on Accuracy of Measurement of Cervical Length During the 3rd Trimester of Pregnancy Study Start Date : July 2013 Estimated Primary Completion Date : July 2014 Estimated Study Completion Date : July 2015 Groups and Cohorts Go

2013 Clinical Trials

15. Cerclage On LOw Risk Singletons: Cervical Cerclage for Prevention of Spontaneous Preterm Birth in Low Risk Singleton Pregnancies With Short Cervix

preterm birth in singleton pregnancies with a short transvaginal cervical length (<=25mm) and without prior spontaneous preterm birth Condition or disease Intervention/treatment Phase Premature Birth Procedure: Cervical cerclage Drug: Vaginal progesterone Not Applicable Detailed Description: Singleton pregnancies between 18 0/7 to 23 6/7 weeks without a prior spontaneous preterm birth found to have a short transvaginal ultrasound cervical length (<=25mm) and meeting all other eligibility criteria (...) Intervention Model: Parallel Assignment Intervention Model Description: Randomized trial of cerclage versus no cerclage in singleton pregnancies without prior spontaneous preterm birth and with a short transvaginal ultrasound cervical length Masking: None (Open Label) Primary Purpose: Treatment Official Title: Cervical Cerclage for Preventing Spontaneous Preterm Birth in Singleton Pregnancies Without Prior Spontaneous Preterm Birth and With Short Transvaginal Ultrasound Cervical Length: a Randomized

2017 Clinical Trials

16. Ultrasound in Anaesthesia and Intensive Care - A Guide to Training

cannulation. Undertaking of ultrasound-guided cannulation in real time maintaining sterility. Identification of needle tip with transverse and longitudinal views. Identification of guide wire within vessel. Insertion of appropriate sized cannula into vessel to correct length and secure fixation. Level 2 competencies Identification of deep veins in leg: common femoral, femoral and popliteal veins. Assessment of lumen of veins in terms of diameter, echogenicity and compressibility. Use of continuous wave (...) Confirmation of patency and absence of thrombus or haematoma by compression, Doppler Undertaking of ultrasound guided cannulation in real time maintaining sterility Identification of needle tip using in-plane or out-of-plane technique Identification of guide wire within vein Insertion of appropriate sized cannula into vessel to correct length and secure Performance of technique safely and effectively Attention to sterility with respect to procedure, patient and machine Adequate documentation and storage

2012 Association of Anaesthetists of GB and Ireland

17. Ultrasound in Anaestheisa and Intensive Care

cannulation. Undertaking of ultrasound-guided cannulation in real time maintaining sterility. Identification of needle tip with transverse and longitudinal views. Identification of guide wire within vessel. Insertion of appropriate sized cannula into vessel to correct length and secure fixation. Level 2 competencies Identification of deep veins in leg: common femoral, femoral and popliteal veins. Assessment of lumen of veins in terms of diameter, echogenicity and compressibility. Use of continuous wave (...) Confirmation of patency and absence of thrombus or haematoma by compression, Doppler Undertaking of ultrasound guided cannulation in real time maintaining sterility Identification of needle tip using in-plane or out-of-plane technique Identification of guide wire within vein Insertion of appropriate sized cannula into vessel to correct length and secure Performance of technique safely and effectively Attention to sterility with respect to procedure, patient and machine Adequate documentation and storage

2011 Intensive Care Society

18. Ultrasound Diagnostic for Diaphragmatic Dysfunction in Reanimation

is the following : absent inefficient low efficiency mild efficiency efficient Comparison between the predictive value of diaphragmatic ultrasound dysfunction and a clinical parameter : quantity of secretions measured with a defined scale [ Time Frame: At the extubation time ] any secretions low secretions mild secretions abundant secretions very abundant secretions Comparison between the predictive value of diaphragmatic ultrasound dysfunction and a clinical parameter : presence/absence or cervical tonus (...) history (documented or likely chronic respiratory failure) Exclusion Criteria: Patient who is tracheotomized Peripheric neuromuscular disease (myasthenia, myopathy) Surgery circumstances that could affect the quality of the ultrasound exam (drains or bandages) Pregnant woman Age < 18 Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor

2016 Clinical Trials

19. Ultrasound Against Obstructive Sleep Apnea

in his group. Device: Ultrasound Exam Ultrasound of Neck will be used to assess the Lateral parapharyngeal wall thickness. Ultrasound of neck with Submental approach will be used to assess tongue base thickness, subcutaneous fat thickness, retropalatal diameter, retroglossal diameter and upper airway length during normal tidal expiration, forced inspiration and muller's maneuver Other Name: Ultrasonography Device: Polysomnography Full-night PSG will be performed in the sleep laboratory according (...) severity. The investigators will compare these results to the results from polysomnography study. Condition or disease Intervention/treatment Phase Obstructive Sleep Apnea Device: Ultrasound Exam Device: Polysomnography Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 200 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double (Participant, Investigator) Primary Purpose

2016 Clinical Trials

20. Cervical Cancer Treatment (PDQ®): Health Professional Version

of cervical cancer include the following: Vaginal bleeding. Unusual vaginal discharge. Pelvic pain. Dyspareunia. Postcoital bleeding. Diagnosis The following procedures may be used to diagnose cervical cancer: History and physical exam. Pelvic exam. Cervical cytology (Pap smear). HPV test. Endocervical curettage. Colposcopy. Biopsy. HPV testing Cervical cytology (Pap smear) has been the mainstay of cervical cancer screening since its introduction. However, molecular techniques for the identification (...) (9): 1954-63, 2008. [ ] Epstein E, Testa A, Gaurilcikas A, et al.: Early-stage cervical cancer: tumor delineation by magnetic resonance imaging and ultrasound - a European multicenter trial. Gynecol Oncol 128 (3): 449-53, 2013. [ ] FIGO Committee on Gynecologic Oncology: FIGO staging for carcinoma of the vulva, cervix, and corpus uteri. Int J Gynaecol Obstet 125 (2): 97-8, 2014. [ ] Cervix uteri. In: Edge SB, Byrd DR, Compton CC, et al., eds.: AJCC Cancer Staging Manual. 7th ed. New York, NY

2015 PDQ - NCI's Comprehensive Cancer Database

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