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ISSN: 2637-4544

Interventions in Gynaecology and Women's Healthcare

Research Article(ISSN: 2637-4544)

Electro Hysterogram Parameters and Indices Clinical Applicability for Preterm Labor Management

Volume 3 - Issue 3

Wael S Nossair*

  • Author Information Open or Close
    • Department of Obstetrics and Gynecology, Zagazig University, Egypt

    *Corresponding author:Wael S Nossair, Department of Obstetrics and Gynecology, Zagazig University, Egypt

Received:June 21, 2019;   Published: June 28, 2019

DOI: 10.32474/IGWHC.2018.03.000162

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Abstract

Background:Prediction of threatened preterm labor is considered a major clinical challenge in obstetric every day practice usage of electro hysterography as an electro diagnostic tool to asses and the electrical activity levels within uterine muscle fibers could aid in management and predictability of delivery time in those category of cases.

Aim:To investigate the value of electro hysterogram indices to Predict delivery occurrence in more or less than 7 days threatened preterm cases under tocolytic management by usage of an electro hysterogram.

Methodology:A prospective clinical research trial conducted on 100 research study subjects having threatened preterm labor categorized in two research groups G1 research group have been composed of cases that delivered in less than 7 days after performing the electro hysterogram recording session G2 research group have been composed of cases that delivered after 7 days performing the electro hysterogram recording session.

Results:Burst EHG statistical significance was observed in Peak to peak amplitude of the EHG signals, Spectral entropy, Binary Lempel-Ziv index, Multistate Lempel-Ziv index (p values =0.020,0.016,<0.001,<0.001,consecutively) on the other hand regarding Whole EHG window statistical significant difference was observed in Median frequency: Sample entropy, Spectral entropy, Binary Lempel-Ziv index, Multistate Lempel-Ziv index (p values <0.001)

ConclusionUterine EMG is a promising tool as regards accuracy and value in prediction of true preterm labor even under tocolytic therapy that could show the effectiveness of tocolytic agent management. However future research studies should consider larger sample sizes in multicentric fashion and discriminate between various tocolytic agents’ impact on uterine muscular activity.

Keywords:Uterine EMG; Preterm labor; Electro hysterogram

Abstract| Introduction| Aim of the work| Methodology| Results| Discussion| Conclusion and Recommendations| References|

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