The Role of Cervical Length Measurement In Predicting The Need For Hysterectomy In Patients With Placenta Previa

Objective: To determine the association of cervical length with the need for peripartum hysterectomy in patients with placenta previa Method: Patients with placenta previa totalis, which performed in 2021, were included in the study. Cervical length was measured by transvaginal technique after 28 weeks. ROC analysis was performed for the cervical length variable in patients requiring peripartum hysterectomy. Results: Peripartum hysterectomy was performed in 26 out of 66 patients (39.4%). When ROC analysis was performed for cervical length in these patients, AUC was 0.999 (95% confidence interval 0.994-0.999) when the cut-off point was ≤26.5. Conclusion: The risk of peripartum hysterectomy increases as cervical length shortens.