Trajectory of Postpartum Cervical Remodeling in Women Delivering Full-Term and Spontaneous Preterm: Sensitivity to Quantitative Ultrasound Biomarkers
Villegas-Downs, M., Mohammadi, M., Han, A., O’Brien, J., William D., Simpson, D. G., Peters, T. A., Schlaeger, J. M., & McFarlin, B. L. (2024). Ultrasound in Medicine & Biology, 50(12), 1777–1784.
Abstract
Women with a history of spontaneous preterm birth face an elevated risk of recurrence, but the biological basis of that risk remains unclear. This prospective study followed 55 women, including 41 full-term and 14 spontaneous preterm births, at 6 weeks and 3, 6, 9, and 12 months postpartum. Quantitative ultrasound biomarkers of cervical tissue were analyzed with descriptive statistics and linear mixed-effects models. Backscatter Coefficient and Lizzi–Feleppa Intercept measures showed significant differences between the groups, and all biomarkers displayed significant changes over time. The findings indicate that quantitative ultrasound can detect distinct cervical remodeling trajectories during the first year after delivery and may help characterize differences associated with spontaneous preterm birth.
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