Cervical length distribution among Brazilian pregnant population and risk factors for short cervix: A multicenter cross-sectional study
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2022 |
| Outros Autores: | , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da UFMG |
| Texto Completo: | https://doi.org/10.1371/journal.pone.0272128 http://hdl.handle.net/1843/61843 https://orcid.org/0000-0002-8718-5372 https://orcid.org/0000-0002-5739-0009 |
Resumo: | CNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico |
| id |
UFMG_3678f9f2fe6b68164d8e498b201ea6e0 |
|---|---|
| oai_identifier_str |
oai:repositorio.ufmg.br:1843/61843 |
| network_acronym_str |
UFMG |
| network_name_str |
Repositório Institucional da UFMG |
| repository_id_str |
|
| spelling |
2023-12-07T21:26:25Z2023-12-07T21:26:25Z2022-10-071710e027212816https://doi.org/10.1371/journal.pone.02721281932-6203http://hdl.handle.net/1843/61843https://orcid.org/0000-0002-8718-5372https://orcid.org/0000-0002-5739-0009CNPq - Conselho Nacional de Desenvolvimento Científico e TecnológicoObjective Since there are populational differences and risk factors that influence the cervical length, the aim of the study was to construct a populational curve with measurements of the uterine cervix of pregnant women in the second trimester of pregnancy and to evaluate which variables were related to cervical length (CL) ≤25 mm. Materials and methods This was a multicenter cross-sectional study performed at 17 hospitals in several regions of Brazil. From 2015 to 2019, transvaginal ultrasound scan was performed in women with singleton pregnancies at 18 0/7 to 22 6/7 weeks of gestation to measure the CL. We analyzed CL regarding its distribution and the risk factors for CL ≤25 mm using logistic regression. Results The percentage of CL ≤ 25mm was 6.67%. Shorter cervices, when measured using both straight and curve techniques, showed similar results: range 21.0–25.0 mm in straight versus 22.6–26.0 mm in curve measurement for the 5th percentile. However, the difference between the two techniques became more pronounced after the 75th percentile (range 41.0–42.0 mm straight x 43.6–45.0 mm in curve measurement). The risk factors identified for short cervix were low body mass index (BMI) (OR: 1.81 CI: 1.16–2.82), higher education (OR: 1.39 CI: 1.10–1.75) and personal history ([one prior miscarriage OR: 1.41 CI: 1.11–1.78 and ≥2 prior miscarriages OR: 1.67 CI: 1.24–2.25], preterm birth [OR: 1.70 CI: 1.12–2.59], previous low birth weight <2500 g [OR: 1.70 CI: 1.15–2.50], cervical surgery [OR: 4.33 CI: 2.58–7.27]). By contrast, obesity (OR: 0.64 CI: 0.51–0.82), living with a partner (OR: 0.76 CI: 0.61–0.95) and previous pregnancy (OR: 0.46 CI: 0.37–0.57) decreased the risk of short cervix. Conclusions The CL distribution showed a relatively low percentage of cervix ≤25 mm. There may be populational differences in the CL distribution and this as well as the risk factors for short CL need to be considered when adopting a screening strategy for short cervix.engUniversidade Federal de Minas GeraisUFMGBrasilMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIAMEDICINA - FACULDADE DE MEDICINAPLoS ONEGravidezFatores de riscoEstudos TransversaisGravidezFatores de riscoEstudos TransversaisCervical length distribution among Brazilian pregnant population and risk factors for short cervix: A multicenter cross-sectional studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0272128#:~:text=The%20distribution%20showed%20a%20low,g%20and%20prior%20cervical%20surgery.Kaline Gomes Ferrari MarquatThe P5 Working GroupMário Dias Corrêa JúniorThais Valeria SilvaBen W. MolJosé Guilherme CecattiRenato Passini Jr.Cynara Maria PereiraThaisa Guedes BortolettoTatiana F. FantonRodolfo C. Pacagnellaapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/61843/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALCervical length distribution among Brazilian pregnant population and risk factors for short cervix_ A multicenter cross-sectional study.pdfCervical length distribution among Brazilian pregnant population and risk factors for short cervix_ A multicenter cross-sectional study.pdfapplication/pdf4673649https://repositorio.ufmg.br/bitstream/1843/61843/2/Cervical%20length%20distribution%20among%20Brazilian%20pregnant%20population%20and%20risk%20factors%20for%20short%20cervix_%20A%20multicenter%20cross-sectional%20study.pdf7e4e290916648303e14a62708296d767MD521843/618432023-12-07 18:26:26.151oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-12-07T21:26:26Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
| dc.title.pt_BR.fl_str_mv |
Cervical length distribution among Brazilian pregnant population and risk factors for short cervix: A multicenter cross-sectional study |
| title |
Cervical length distribution among Brazilian pregnant population and risk factors for short cervix: A multicenter cross-sectional study |
| spellingShingle |
Cervical length distribution among Brazilian pregnant population and risk factors for short cervix: A multicenter cross-sectional study Kaline Gomes Ferrari Marquat Gravidez Fatores de risco Estudos Transversais Gravidez Fatores de risco Estudos Transversais |
| title_short |
Cervical length distribution among Brazilian pregnant population and risk factors for short cervix: A multicenter cross-sectional study |
| title_full |
Cervical length distribution among Brazilian pregnant population and risk factors for short cervix: A multicenter cross-sectional study |
| title_fullStr |
Cervical length distribution among Brazilian pregnant population and risk factors for short cervix: A multicenter cross-sectional study |
| title_full_unstemmed |
Cervical length distribution among Brazilian pregnant population and risk factors for short cervix: A multicenter cross-sectional study |
| title_sort |
Cervical length distribution among Brazilian pregnant population and risk factors for short cervix: A multicenter cross-sectional study |
| author |
Kaline Gomes Ferrari Marquat |
| author_facet |
Kaline Gomes Ferrari Marquat The P5 Working Group Mário Dias Corrêa Júnior Thais Valeria Silva Ben W. Mol José Guilherme Cecatti Renato Passini Jr. Cynara Maria Pereira Thaisa Guedes Bortoletto Tatiana F. Fanton Rodolfo C. Pacagnella |
| author_role |
author |
| author2 |
The P5 Working Group Mário Dias Corrêa Júnior Thais Valeria Silva Ben W. Mol José Guilherme Cecatti Renato Passini Jr. Cynara Maria Pereira Thaisa Guedes Bortoletto Tatiana F. Fanton Rodolfo C. Pacagnella |
| author2_role |
author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Kaline Gomes Ferrari Marquat The P5 Working Group Mário Dias Corrêa Júnior Thais Valeria Silva Ben W. Mol José Guilherme Cecatti Renato Passini Jr. Cynara Maria Pereira Thaisa Guedes Bortoletto Tatiana F. Fanton Rodolfo C. Pacagnella |
| dc.subject.por.fl_str_mv |
Gravidez Fatores de risco Estudos Transversais |
| topic |
Gravidez Fatores de risco Estudos Transversais Gravidez Fatores de risco Estudos Transversais |
| dc.subject.other.pt_BR.fl_str_mv |
Gravidez Fatores de risco Estudos Transversais |
| description |
CNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico |
| publishDate |
2022 |
| dc.date.issued.fl_str_mv |
2022-10-07 |
| dc.date.accessioned.fl_str_mv |
2023-12-07T21:26:25Z |
| dc.date.available.fl_str_mv |
2023-12-07T21:26:25Z |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/61843 |
| dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.1371/journal.pone.0272128 |
| dc.identifier.issn.pt_BR.fl_str_mv |
1932-6203 |
| dc.identifier.orcid.pt_BR.fl_str_mv |
https://orcid.org/0000-0002-8718-5372 https://orcid.org/0000-0002-5739-0009 |
| url |
https://doi.org/10.1371/journal.pone.0272128 http://hdl.handle.net/1843/61843 https://orcid.org/0000-0002-8718-5372 https://orcid.org/0000-0002-5739-0009 |
| identifier_str_mv |
1932-6203 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.ispartof.pt_BR.fl_str_mv |
PLoS ONE |
| dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf |
| dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
| dc.publisher.initials.fl_str_mv |
UFMG |
| dc.publisher.country.fl_str_mv |
Brasil |
| dc.publisher.department.fl_str_mv |
MED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA MEDICINA - FACULDADE DE MEDICINA |
| publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
| dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFMG instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
| instname_str |
Universidade Federal de Minas Gerais (UFMG) |
| instacron_str |
UFMG |
| institution |
UFMG |
| reponame_str |
Repositório Institucional da UFMG |
| collection |
Repositório Institucional da UFMG |
| bitstream.url.fl_str_mv |
https://repositorio.ufmg.br/bitstream/1843/61843/1/License.txt https://repositorio.ufmg.br/bitstream/1843/61843/2/Cervical%20length%20distribution%20among%20Brazilian%20pregnant%20population%20and%20risk%20factors%20for%20short%20cervix_%20A%20multicenter%20cross-sectional%20study.pdf |
| bitstream.checksum.fl_str_mv |
fa505098d172de0bc8864fc1287ffe22 7e4e290916648303e14a62708296d767 |
| bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
| repository.name.fl_str_mv |
Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG) |
| repository.mail.fl_str_mv |
|
| _version_ |
1803589421652508672 |