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Deutsches Institut für Urbanistik
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Walter de Gruyter
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Alin Basgul, Zehra Nese Kavak, Nadi Bak?rc?, Husnu Gokaslan

Three-dimensional ultrasound power Doppler assessment of the cervix: comparison between nulliparas and multiparas

Keywords: Cervical volume, parity, power Doppler, pregnancy, three-dimensional ultrasound

Aim: To assess the sonographic cervical characteristics between nulliparous and multiparous women.

Subject and methods: Transvaginal three-dimensional ultrasound and power Doppler using the virtual organ computer-aided analysis (VOCAL) program were performed on 71 nulliparas and 59 multiparas at a mean gestational age of 25.3±7.9 weeks. We compared the cervical volume and power Doppler vascularization index (VI), flow index (FI), and vascularization-flow index (VFI) between nulliparas and multiparas.

Results: The mean cervical volume and mean VI, VFI, FI measurements were not significantly different between multiparas and nulliparas.

Conclusion: Our observations suggest that the morphological changes in the cervix of parous women are merely configurational without a change in cervical mass and vascularization. These configurational changes might result from the inevitable cervical streching during labor and represent a healing process that does not involve a subsequent change in mass or vascularity.

Journal of Perinatal Medicine, Walter de Gruyter

Print ISSN: 1619-3997
Volume: 35, 02/2007
Pages: 48 - 50

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