{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T23:58:33Z","timestamp":1781135913560,"version":"3.54.1"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>To create a new scoring system for predicting preterm birth by incorporating\n                        second-trimester sonographic measurements, including cervical length,\n                        uterocervical angle, and lower uterine segment myometrial thickness, along\n                        with cervical dilation.<\/jats:p>\n                  <jats:p>This prospective study included 252 pregnant women who were admitted to a\n                        university-affiliated research hospital between 16 and 24 gestational weeks.\n                        Participants were followed and categorized into two groups: preterm birth\n                        group (n=40) and term birth group (n=212). Cervical length, uterocervical\n                        angle, and myometrial thickness were measured and the predictive role of\n                        these parameters for preterm birth was evaluated. A new scoring system was\n                        developed based on the identified cut-off values.<\/jats:p>\n                  <jats:p>A cervical length\u226436.3 mm predicted preterm birth with 85% sensitivity and\n                        73.1% specificity (p&lt;0.001, AUC=0.831), while a uterocervical\n                        angle&gt;102.1 degrees predicted it with 92.5% sensitivity and 54.3%\n                        specificity (p&lt;0.001, AUC=0.767). Additionally, a myometrial\n                        thickness\u22645.7 mm predicted preterm birth with 90% sensitivity and 37.4%\n                        specificity (p=0.002, AUC=0.634). A new scoring system score\u22652 predicted\n                        preterm birth with 75% sensitivity and 89.6% specificity (p&lt;0.001,\n                        AUC=0.871). In the validation group, a total score\u22652 predicted preterm birth\n                        with 70.6% sensitivity and 90.4% specificity (p&lt;0.001, AUC=0.826).<\/jats:p>\n                  <jats:p>This scoring system, incorporating cervical length, uterocervical angle,\n                        myometrial thickness, and cervical dilatation, offers a potential\n                        alternative to digital cervical examination, a subjective method for\n                        predicting preterm birth.<\/jats:p>","DOI":"10.1055\/a-2790-8741","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:00:27Z","timestamp":1777881627000},"page":"201-208","source":"Crossref","is-referenced-by-count":0,"title":["A New Second-Trimester Scoring System To Predict Preterm\n                    Birth"],"prefix":"10.1055","volume":"230","author":[{"given":"Elif","family":"Canseven Ocak","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Ministry of Cay State Hospital, Afyon,\n                    Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Burcu","family":"Dincgez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Ministry of\n                    Health University of Health Sciences Bursa Yuksek Ihtisas Training and Research\n                    Hospital, Bursa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gulten","family":"Ozgen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Ministry of\n                    Health University of Health Sciences Bursa Yuksek Ihtisas Training and Research\n                    Hospital, Bursa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3365-8899","authenticated-orcid":false,"given":"Nefise Nazl\u0131","family":"Yenigul","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, Private Ac\u0131badem Hospita, Bursa,\n                    Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ezgi","family":"Erte Akin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Ministry of\n                    Health University of Health Sciences Bursa Yuksek Ihtisas Training and Research\n                    Hospital, Bursa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,2,3]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2284384","DOI":"10.1080\/07853890.2023.2284384","article-title":"Association between interleukin-6 and preterm birth: a meta-analysis","volume":"55","author":"Y Chang","year":"2023","journal-title":"Ann Med"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e2804","DOI":"10.1055\/s-0043-1775564","article-title":"A scoping review of preterm birth risk factors","volume":"41","author":"I D 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birth","volume":"1","author":"A A Mabrouk","year":"2020","journal-title":"Al-Azhar Intern Med J"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1080\/01443615.2020.1718622","article-title":"Distribution of uterocervical angles in the second trimester of pregnant women\n                    at low risk for preterm delivery","volume":"41","author":"R Sawaddisan","year":"2021","journal-title":"J Obstet Gynaecol"}],"container-title":["Zeitschrift f\u00fcr Geburtshilfe und Neonatologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2790-8741.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T23:29:01Z","timestamp":1781134141000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2790-8741"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,3]]},"references-count":29,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2026,6,5]]},"published-print":{"date-parts":[[2026,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2790-8741","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0948-2393","1439-1651"],"issn-type":[{"value":"0948-2393","type":"print"},{"value":"1439-1651","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,3]]}}}