Sonography Cervical Assessment in Twin Pregnancy Correlation with Gestational Age at Delivery

Objective: Observe and correlate the funneling of upper cervical canal by ultrasound likelihood incompetence premature delivery in twin pregnancy. Materials methods: Retrospective study pregnancies deliveries 1997, king Faisal specialist hospital research center, Riyadh, Saudi Arabia. A total 67 underwent routine for fetal assessment, when cervix closed, long; short, funneling. The time was divided three groups gestational age: from 18 to 22 weeks; 26 weeks 30 weeks. age at our outcome parameter subdivided patients 4 groups, group 1: delivered before 24 (n = 4); 2: between 34 16); 3: 36 6 days 18); 4: with equal or above 37 29). data analyzed statistically using Pearson chi square method p value below 0.05 considered significant. Results: There no significant difference among subgroups maternal age, body mass index, parity, previous history preterm presence urinary/vaginal infection actual stronger mid trimester abortion age. Considering sonographic findings, diagnosis - higher (1 2) comparing other (3 4) 0.016. finding justifies results aggressive management 1 2 3 4; admission (p 0.007); emergency cerclage 0.04), complete bed rest 0.002). Conclusion: Cervical assessment during twins pregnancy seems be useful prediction counseling patient without risk factors regarding cerclage. Because restricted number patients, especially (11 4), we suggest further bigger sample prospective trial valued conclusion.