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Using ultrasound measurement of fetal adrenal gland a better predictor of preterm birth than measuring cervical length.

In a study to be presented today at the Society for Maternal-Fetal Medicine's (SMFM) annual meeting, The Pregnancy Meeting, in Chicago, researchers will unveil findings that show that using ultrasound for measuring the fetal zone of the adrenal gland is a better predictor of pre-term birth than measuring cervical length.

Researchers with the University of Maryland and Yale University have followed up on early research that they conducted using 3D ultrasound methods.

"We previously discovered that 3D adrenal gland volume (AGV) is a very accurate predictor of preterm birth," said Dr. Ozhan Turan, the study's author. "However most people around the world don't have access to that technology, therefore, we have created measurements that can be done with 2D ultrasound that are very effective to predict pre-term birth."

In the study, patients presenting with preterm labor symptoms had ultrasound measurement of the cervical length and fetal adrenal gland dimension. Using 3-D ultrasound, AGV, 2-D depth of the whole-gland and fetal zone were measured.

Sixty-two singletons with preterm labor at 23 to 37 weeks gestation were studied. Twenty women had preterm birth at less than seven days, while 42 delivered in seven days or more from initial assessment.

"Prior to this we haven't had a good method to predict who will present with pre-term labor." said Dr. Turan. "Measuring the cervical length leads to a high percentage of false positives and also it has limited sensitivity," he continued. "Hopefully, if adopted, this method will allow for an easy inexpensive way to identify real pre-term deliveries. Therefore we will be better managing these pregnancies."

Source: SMFM

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