European Journal of Cardiovascular Medicine

Introduction: Spontaneous preterm delivery, a composite perinatal and obstetric condition is the main source of perinatal morbidity and mortality. Regardless of latest management of neonates in the last centuries, a couple of trials recognized high-probability category who might have premature delivery and also to concentrate on perinatal results, yet premature delivery not decreased. Early detection of premature labour has been pursued as a means of reducing prematurity-related perinatal morbidity. Preterm labor is triggered by a number of mechanisms, similar to how parturition at term is triggered by a number of mechanisms. Asymptomatic bacteriuria, cervical incompetence, cervico-vaginal infections, uterine overdistension, uteroplacental insufficiency, decidual hemorrhage and other factors might cause them.  Materials And Methods: This is Hospital-based prospective observational study was conducted in the Department of Obstetrics and Gynaecology in a tertiary care teaching hospital for a period of one year. The pregnant mothers coming under inclusion criteria are explained about the study and the ultrasound procedure. Consent for the procedure is obtained. Using ultrasonography, cervical length is measured and they are asked to come for follow-up after 3-4 weeks. These patients are subjected to follow-up till delivery and their gestation age at delivery and mode of delivery are noted. Transvaginal ultrasonography of cervix is the reference standard technique for accurate determination of dimensions and characteristics of the cervix. USG Machine - Mind Ray 2D Ultrasound with Transvaginal probe (Frequency - 7.5MHZ). Results: In the present study 47% were in 18 weeks of gestational age. About 21% were in 19 weeks of gestational age. About 15% were in 20 weeks of gestational age. About 13% were in 21 weeks of gestational age. Only 4% were in 22 weeks of gestational age. Mean gestational age is 20.56 and standard deviation is 2.24. About 47% had cervical length equal to or less than 2.5 cm. About 53% had more than 2.5 cm cervical length. About 72% were Normal vaginal deliveries. About 22% were LSCS deliveries. About 65% of the mother delivered Preterm, less than 37 weeks of gestational age. About 35% of the mother delivered at and more than 37 weeks of gestational age. About 36% were between 2.1 - 2.5 Kgs followed by 22% between 2.6 - 3.0 Kgs. 17% were <2 kgs. 16% were between 3.1-3.5Kgs. 9% were between 3.6 - 4.0 Kgs. Conclusion: Even if using predictors may not diminish the pace of premature birth, it does help us identify patients who are at risk and choose better treatment options. It likewise assists us to avoid overseeing preterm labor and treating it too aggressively. The use of Transvaginal ultrasonography to determine the cervix has the potential to help forecast the probability of preterm labor. Considering the severity of premature labor, the expense of managing premature babies, and the associated morbidity and mortality, the utilisation of cervical sonological estimation at 18 to 24 weeks as a standard screening strategy is practical and has great legitimacy as a successful screening test, and should be offered to all pregnant women.