About this trial
The goal of this observational study is to evaluate the role of uterine artery doppler indices and uterocervical angle measurement in prediction of preterm labor .The main question it aims to answer is:
Does combination of both uterine artery doppler indices and uterocervical angle measurement increase sensitivity and specificity for prediction of established preterm labor ? Participants already performing uterine artery doppler as part of their regular antenatal care .measurement of anterior uterocervical angle will be added between 24 to 34 weeks gestation to predict preterm labor in candidates .
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Patient who will give verbal & written will informed consent.
Pregnant women between 18 and 40 years old of age
Singleton pregnancy
Gestational age will be confirmed by first trimester ultrasound scan (<14 weeks).
Disqualifiers
Ruptured membranes
Clinical evidence of Chorioamnionitis.
Fetal compromise on evaluation.
Severe obstetric complications (e.g., severe Preeclampsia, Eclampsia).
Trial population
Eligible participants will be recruited among those attending the antenatal clinic or Obstetrics Emergency Unite at Kafrelsheikh University Hospital.
Trial design
Cohort
Prospective
Treatments tested in this trial
Ultrasound
DeviceTrans abdominal ultrasound will be used to measure uterine artery doppler indices Trans vaginal ultrasound will be used to measure anterior uterocervical angle
Treatment groups
Trial outcomes
Primary outcomes
Sensitivity, specificity and accuracy performance of uterine artery Doppler indices and uterocervical angle assed by ultrasound for prediction of preterm labor
Its hypothesized that: Abnormal uterine artery Doppler indices and an abnormal (acute) uterocervical angle (\< 95°) are significant predictors of preterm labor. The combination of these two parameters will enhance the sensitivity and specificity of preterm labor prediction.
Sponsors and contacts
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