TY - JOUR T1 - The Role of Cervical Length Measurement In Predicting The Need For Hysterectomy In Patients With Placenta Previa AU - Beyazıt, Ahmet AU - Tiryaki, Elif Nedime AU - Dolapçıoğlu, Kenan Serdar AU - Soylu Karapınar, Oya PY - 2025 DA - April Y2 - 2025 DO - 10.17944/interdiscip.1602933 JF - Interdisciplinary Medical Journal JO - Interdiscip Med J PB - Hatay Mustafa Kemal University WT - DergiPark SN - 2980-1915 SP - 33 EP - 37 VL - 16 IS - 54 LA - en AB - Objective: To determine the association of cervical length with the need for peripartum hysterectomy in patients with placenta previaMethod: Patients with placenta previa totalis, which performed in 2021, were included in the study. Cervical length was measured by transvaginal technique after 28 weeks. ROC analysis was performed for the cervical length variable in patients requiring peripartum hysterectomy.Results: Peripartum hysterectomy was performed in 26 out of 66 patients (39.4%). When ROC analysis was performed for cervical length in these patients, AUC was 0.999 (95% confidence interval 0.994-0.999) when the cut-off point was ≤26.5.Conclusion: The risk of peripartum hysterectomy increases as cervical length shortens. KW - Placenta previa KW - Cervical length KW - Peripartum hysterectomy CR - Jauniaux E, Bhide A. Prenatal ultrasound diagnosis and outcome of placenta previa accreta after cesarean delivery: a systematic review and meta-analysis. Am J Obstet Gynecol. 2017;217(1):27-36. http://doi:10.1016/j.ajog.2017.02.050 CR - Cresswell JA, Ronsmans C, Calvert C, Filippi V. Prevalence of placenta praevia by world region: a systematic review and meta-analysis. Trop Med Int Health. 2013;18(6):712-24. http://doi:10.1111/tmi.12100 CR - Mitsuzuka K, Togo A, Nakajima R, Kanno Y, Sato K, Ishimoto H. Is Cervical Length a Useful Predictor of Antepartum Hemorrhage in Patients with Placenta Previa?. Tokai J Exp Clin Med. 2022;47(4):204-8. CR - Crane JM, Van den Hof MC, Dodds L, Armson BA, Liston R. Maternal complications with placenta previa. Am J Perinatol. 2000;17(2):101-5. http://doi:10.1055/s-2000-9269 CR - Iams JD, Goldenberg RL, Meis PJ, et al. The length of the cervix and the risk of spontaneous premature delivery. National Institute of Child Health and Human Development Maternal Fetal Medicine Unit Network. N Engl J Med. 1996;334(9):567-72. http://doi:10.1056/NEJM199602293340904 CR - Silver RM, Landon MB, Rouse DJ, et al. Maternal morbidity associated with multiple repeat cesarean deliveries. Obstet Gynecol. 2006;107(6):1226-32. http://doi:10.1097/01.AOG.0000219750.79480.84 CR - Califano G, Saccone G, Maria Maruotti G, et al. Prenatal identification of invasive placentation using ultrasound in women with placenta previa and prior cesarean delivery. Eur J Obstet Gynecol Reprod Biol. 2024;302:97-103. http://doi:10.1016/j.ejogrb.2024.08.035 CR - Hessami K, Mitts M, Zargarzadeh N, Jamali M, Berghella V, Shamshirsaz AA. Ultrasonographic cervical length assessment in pregnancies with placenta previa and risk of perinatal adverse outcomes: a systematic review and meta-analysis. Am J Obstet Gynecol MFM. 2024;6(5S):101172. http://doi:10.1016/j.ajogmf.2023.101172 CR - Mimura T, Hasegawa J, Nakamura M, et al. Correlation between the cervical length and the amount of bleeding during cesarean section in placenta previa. J Obstet Gynaecol Res. 2011;37(7):830-5. http://doi:10.1111/j.1447-0756.2010.01446.x CR - Dang X, Fan C, Cui F, et al. Interactions between ultrasonographic cervical length and placenta accreta spectrum on severe postpartum hemorrhage in women with placenta previa. Int J Gynaecol Obstet. 2023;161(3):1069-74. http://doi:10.1002/ijgo.14641 CR - Zheng X, Li T, Zeng M, Cheng X, Rao H. The clinical value of prenatal assessment of cervical length and placental thickness in pregnant women with placenta previa. Am J Transl Res. 2021;13(5):5308-14. CR - Zhou L, Zhao X, Xu D, et al. Placental Area in the Lower Uterine Segment, Cervical Length, and Clinical Outcome in Pregnancies With Complete Placenta Previa. J Magn Reson Imaging. 2023;58(4):1047-54. http://doi:10.1002/jmri.28617 CR - Polat M, Kahramanoglu I, Senol T, Ozkaya E, Karateke A. Shorter the cervix, more difficult the placenta percreta operations. J Matern Fetal Neonatal Med. 2016;29(14):2327-31. http://doi:10.3109/14767058.2015.1085017 CR - Society for Maternal-Fetal Medicine (SMFM). Electronic address: pubs@smfm.org, McIntosh J, Feltovich H, Berghella V, Manuck T. The role of routine cervical length screening in selected high- and low-risk women for preterm birth prevention. Am J Obstet Gynecol. 2016;215(3):B2-B7. http://doi:10.1016/j.ajog.2016.04.027 UR - https://doi.org/10.17944/interdiscip.1602933 L1 - https://dergipark.org.tr/en/download/article-file/4446833 ER -