Özet:

Preterm delivery has been faced in all delivery with a 7-11 percentage and it keeps its importance by causing perinatal mortality and morbidity. Therefore it is important to define preterm delivery risk during the earlier period of the delivery. The aim of our work is evaluating the influence of the cervical length and funneling which are measured by transvaginal ultrasonography (TVUSG) in the asemptomatic singleton pregnant women, to predefine preterm delivery. The cervical length at 16th, 20th, 24th, 28th, 32th and 36th week of the pregnancy has been measured by TVUSG within a sample of 60 pregnant women who don’t have any risk about the preterm delivery or who have already had a preterm delivery or an abortus case before. Also the funneling has been observed within the same sample. The relation of a cervical length less than or equal 30 mm and the existence of the funneling with a preterm delivery risk before the 37th week of the delivery has been evaluated statistically. We have observed the preterm delivery in the 7 of the 60 pregnant women which were until the delivery (% 11.7). In this group, the relation between the preterm delivery controlled and a cervix which is less than or equal 30 mm, has showed a statistical reasonabilty with the cervical lenght value at the 28th and 32th week (p: 0.0001; p: 0.001). A servical funneling has been found in one patient and it has been not defined as meaningful with regard to the preterm delivery risk (p>0.05). In order to define the risk of the preterm delivery, it is more meaningful if the cervical lenght is less than 30 mm and measured at the 28th and 32th week of the delivery. On the other hand, funneling could not been determined during the earlier period of the delivery; therefore it is not used as a criteria to predefine the preterm delivery.

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