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dc.contributor.CRUESPUniversidade Estadual de Campinaspt
dc.typeArtigo de periódicopt
dc.titleComparison of Cervical Length in Adult and Adolescent Nulliparae at Mid-gestationpt
dc.contributor.authorD'Agostini, Cpt
dc.contributor.authorde Oliveira, Mpt
dc.contributor.authorD'Souza-Li, Lpt
unicamp.authorD'Agostini, Carla Univ Estadual Campinas, Fac Med Sci, Blumenau, Brazilpt
unicamp.authorD'Agostini, Carla Univ Reg Blumenau, Dept Med, Hlth Sci Ctr, Blumenau, Brazilpt
unicamp.authorde Oliveira, Melissa Univ Reg Blumenau, Blumenau, Brazilpt
unicamp.authorD'Souza-Li, Lilia Univ Estadual Campinas, Dept Pediat, Program Child & Adolescent Hlth, Fac Med Sci, Campinas, Brazilpt
dc.subjectPregnancy in adolescencept
dc.subjectPremature birthpt
dc.subjectCervical length measurementpt
dc.subject.wosPreterm Birthpt
dc.subject.wosSonographic Measurementpt
dc.subject.wosObstetric Historypt
dc.description.abstractStudy Objective: To compare cervical lengths of adolescents and adults in mid-gestation. Design: An analytical, observational, and cross-sectional study. Setting: Public health system in the city of Blumenau, Brazil. Participants: Primigravidae adolescents under the age of 16 and adults over age 20 (n = 40/group) were systematically sampled. Interventions: Cervical measurements were performed between 21 and 24 weeks of gestation through transvaginal ultrasonography using a previously validated method. Main Outcome Measures: Mean cervical length (Mann-Whitney test) and percentage of cervices below 25 mm (Fisher exact test). Results: For adolescents and adults, average uterine cervix lengths were 28 +/- 6.6 mm 33 +/- 4.1 mm (P < .0001), respectively, and the proportion of cervixes below 25 mm were 27.5% and 7.5% (P < .02), respectively. In addition, adolescents had significantly lower gynecologic age, education, and family income than adults. Conclusion: Primigravida adolescents under the age of 16 have shorter cervices than adults, and a higher percentage of adolescents have cervices shorter than 25 mm. This may be associated with the higher risk of preterm birth observed in adolescents and suggests that this population requires special attention in prenatal care.
dc.relation.ispartofJournal Of Pediatric And Adolescent Gynecology
dc.relation.ispartofabbreviationJ. Pediatr Adolesc.
dc.publisher.cityNew Yorkpt
dc.publisherElsevier Science Incpt
dc.identifier.citationJournal Of Pediatric And Adolescent Gynecology. Elsevier Science Inc, v. 26, n. 4, n. 209, n. 211,
dc.sourceWeb of Sciencept
dc.description.sponsorshipPolyclinic of Reference and Specialty Poet Lindolf Bellpt
dc.description.provenanceMade available in DSpace on 2014-07-30T14:00:09Z (GMT). No. of bitstreams: 0 Previous issue date: 2013en
dc.description.provenanceMade available in DSpace on 2015-11-26T17:43:30Z (GMT). No. of bitstreams: 0 Previous issue date: 2013en
Appears in Collections:Unicamp - Artigos e Outros Documentos

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