ASSESSMENT OF PROGNOSIS OF PREGNANCIES WI TH PRETERM LABOR WITH DISCRIMINANCE ANALYSIS

We examined 114 women with preterm labor using discriminance analysis to assess predictive values in terms of prolongation of gestational ag e and gestational age at the time of delivery. We used parameters like medical history, clinical features, infections, doppler sonography an d cardiotocography. Maternal temperature, cardiotocographic findings, premature rupture of membranes, number of abortions and pregnancy term inations and cervical dilatation at the time of admission contribute s ignificantly to predict prolongation of pregnancy (less than or equal to as well as >7 days). Our results from this analysis showed sensitiv ity and specifity of 0.70 and 0.97 and positive and negative predictiv e values of 0.89 and 0.91, respectively. We observed significant diffe rences concerning parameters like preterm rupture of membranes, cervic al dilatation, pathological bacteria in the vagina and pathological do ppler values between subsequent preterm and term deliveries in pregnan cies with a prolongation of >7 days was. Upon reclassifying our result s, we obtained sensitivity and specifity of 0.69 and 0.89 and positive and negative predictive values of 0.78 and 0.84, respectively. Early prognostic assessment of preterm labor can be made with discriminance analysis. The results inspire us to perform a prospective examination of the therapy plan that we have obtained.