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Cervical length screening among low-risk women; relationship of body mass index on cervical length and risk of preterm birth

Background: Preterm birth (PTB) contributes to nearly 11% of all deliveries in the world. The majority of spontaneous preterm birth (sPTB) remains unexplained. Risk factors include abnormal body mass index (BMI), short cervical length, comorbidities and many more. However, there is limited study on...

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Main Authors: Basri, Nurul Iftida, Dasrilsyah, Rima Anggrena, Mohd Jamil, Amilia Afzan, Leong, Charmaine Sook Yee
Format: Article
Language:English
Published: BioMed Central 2024
Online Access:http://psasir.upm.edu.my/id/eprint/113389/1/113389.pdf
http://psasir.upm.edu.my/id/eprint/113389/
https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-024-06552-6
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spelling my.upm.eprints.1133892024-11-22T04:17:30Z http://psasir.upm.edu.my/id/eprint/113389/ Cervical length screening among low-risk women; relationship of body mass index on cervical length and risk of preterm birth Basri, Nurul Iftida Dasrilsyah, Rima Anggrena Mohd Jamil, Amilia Afzan Leong, Charmaine Sook Yee Background: Preterm birth (PTB) contributes to nearly 11% of all deliveries in the world. The majority of spontaneous preterm birth (sPTB) remains unexplained. Risk factors include abnormal body mass index (BMI), short cervical length, comorbidities and many more. However, there is limited study on the association between body mass index, cervical length and preterm birth in Malaysia among low-risk women. Hence, we aim to examine the relationship between body mass index, cervical length and the risk of spontaneous preterm birth. Method: In this prospective cohort study, pregnant women between 16 and 24 weeks who fulfilled the criteria were recruited. Women with history of preterm birth were excluded. Demographic and clinical data (age, BMI, ethnicity, education level and parity) were obtained. Cervical length was measured using transvaginal scan. Patients were then followed up till delivery to determine their delivery gestation and outcome of delivery. Results: Out of 153 women who participated in this study, 146 women had cervical length of more than 30 mm, six had cervical length between 25 mm and 30 mm and one had cervical length of 24 mm. There were nine (9) cases of sPTB, with all of them being late preterm with normal midtrimester cervical length. Almost half of them (44%) were overweight/obese. A significant association was found between age, cervical length, and parity compared to BMI. Nevertheless, no significant association was seen between the BMI and risk of sPTB. Conclusion: This study demonstrates a higher BMI is associated with longer cervical length, but it is not necessarily protective against sPTB. Hence, we concluded there is a limited role in cervical length screening among low-risk women regardless of their BMI in predicting sPTB. BioMed Central 2024 Article PeerReviewed text en cc_by_4 http://psasir.upm.edu.my/id/eprint/113389/1/113389.pdf Basri, Nurul Iftida and Dasrilsyah, Rima Anggrena and Mohd Jamil, Amilia Afzan and Leong, Charmaine Sook Yee (2024) Cervical length screening among low-risk women; relationship of body mass index on cervical length and risk of preterm birth. BMC Pregnancy and Childbirth, 24 (1). art. no. 363. pp. 1-7. ISSN 1471-2393; eISSN: 1471-2393 https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-024-06552-6 10.1186/s12884-024-06552-6
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Background: Preterm birth (PTB) contributes to nearly 11% of all deliveries in the world. The majority of spontaneous preterm birth (sPTB) remains unexplained. Risk factors include abnormal body mass index (BMI), short cervical length, comorbidities and many more. However, there is limited study on the association between body mass index, cervical length and preterm birth in Malaysia among low-risk women. Hence, we aim to examine the relationship between body mass index, cervical length and the risk of spontaneous preterm birth. Method: In this prospective cohort study, pregnant women between 16 and 24 weeks who fulfilled the criteria were recruited. Women with history of preterm birth were excluded. Demographic and clinical data (age, BMI, ethnicity, education level and parity) were obtained. Cervical length was measured using transvaginal scan. Patients were then followed up till delivery to determine their delivery gestation and outcome of delivery. Results: Out of 153 women who participated in this study, 146 women had cervical length of more than 30 mm, six had cervical length between 25 mm and 30 mm and one had cervical length of 24 mm. There were nine (9) cases of sPTB, with all of them being late preterm with normal midtrimester cervical length. Almost half of them (44%) were overweight/obese. A significant association was found between age, cervical length, and parity compared to BMI. Nevertheless, no significant association was seen between the BMI and risk of sPTB. Conclusion: This study demonstrates a higher BMI is associated with longer cervical length, but it is not necessarily protective against sPTB. Hence, we concluded there is a limited role in cervical length screening among low-risk women regardless of their BMI in predicting sPTB.
format Article
author Basri, Nurul Iftida
Dasrilsyah, Rima Anggrena
Mohd Jamil, Amilia Afzan
Leong, Charmaine Sook Yee
spellingShingle Basri, Nurul Iftida
Dasrilsyah, Rima Anggrena
Mohd Jamil, Amilia Afzan
Leong, Charmaine Sook Yee
Cervical length screening among low-risk women; relationship of body mass index on cervical length and risk of preterm birth
author_facet Basri, Nurul Iftida
Dasrilsyah, Rima Anggrena
Mohd Jamil, Amilia Afzan
Leong, Charmaine Sook Yee
author_sort Basri, Nurul Iftida
title Cervical length screening among low-risk women; relationship of body mass index on cervical length and risk of preterm birth
title_short Cervical length screening among low-risk women; relationship of body mass index on cervical length and risk of preterm birth
title_full Cervical length screening among low-risk women; relationship of body mass index on cervical length and risk of preterm birth
title_fullStr Cervical length screening among low-risk women; relationship of body mass index on cervical length and risk of preterm birth
title_full_unstemmed Cervical length screening among low-risk women; relationship of body mass index on cervical length and risk of preterm birth
title_sort cervical length screening among low-risk women; relationship of body mass index on cervical length and risk of preterm birth
publisher BioMed Central
publishDate 2024
url http://psasir.upm.edu.my/id/eprint/113389/1/113389.pdf
http://psasir.upm.edu.my/id/eprint/113389/
https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-024-06552-6
_version_ 1817844630742368256
score 13.244413

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