Sonographic cervical volumetry in higher order multiple gestation.
OBJECTIVE
The aim of this study of multifetal pregnancies was the comparison of three-dimensional (3D) volumetry of the cervix, conventional sonographic cervical length measurement and clinical assessment.


METHODS
10 mothers were investigated in an observational study between 5/1999 and 9/2000. A total of 34 consecutive 2D- and 3D-transabdominal ultrasound measurements were performed.


RESULTS
Volumetry of the cervix was possible in all 34 exams. 2D-cervical length assessment could not be obtained in 6% because the presenting fetal part obstructed the sonographic plane. Both methods allowed equal judgement of the configuration of the cervix. A significant correlation was found between mean 2D-cervical length (28.7 mm, 7.7 SD) and mean cervical volume (30.0 cm3, 16.0 SD). Parity, subjective preterm labor or need of tocolytics showed no correlation with any biometrical parameter studied.


CONCLUSIONS
Volumetry was superior for the assessment of cervical biometry and conformation in women when the transabdominal 2D-plane was obstructed. When cervical length was obtainable by a conventional scan, the technically more complex 3D-imaging did not provide further information.
Strauss
A
A
Department of Obstetrics and Gynecology-Grosshadern, University of Munich, Munich, Germany. Alexander.Strauss@gyn.med.uni-muenchen.de
Heer
I
I
Fuchshuber
S
S
Janssen
U
U
Hillemanns
P
P
Hepp
H
H
D000328:Adult; D002584:Cervix Uteri / Q000033:anatomy & histology / Q000000981:diagnostic imaging*; D005260:Female; D005280:Fenoterol / Q000627:therapeutic use; D005322:Premature Rupture of Fetal Membranes / Q000000981:diagnostic imaging; D006801:Humans; D008278:Magnesium Sulfate / Q000627:therapeutic use; D007752:Obstetric Labor, Premature / Q000000981:diagnostic imaging / Q000188:drug therapy; D010298:Parity; D011247:Pregnancy; D011272:Pregnancy, Multiple; D011446:Prospective Studies; D011783:Quadruplets; D015149:Tocolytic Agents / Q000627:therapeutic use; D014310:Triplets; D014463:Ultrasonography; D002581:Uterine Cervical Incompetence / Q000000981:diagnostic imaging
D015149:Tocolytic Agents; D005280:Fenoterol; D008278:Magnesium Sulfate