MRI assessment of the cervix in women at risk of preterm birth

  • Research type

    Research Study

  • Full title

    MRI assessment of the cervix in non-pregnant women at risk of premature birth

  • IRAS ID

    242882

  • Contact name

    Lisa Story

  • Contact email

    lisa.story@kcl.ac.uk

  • Sponsor organisation

    King's College London

  • Duration of Study in the UK

    24 years, 11 months, 31 days

  • Research summary

    Each year in the UK, 60,000 babies are born prematurely (<37 weeks). The earlier the
    birth occurs, the higher the risk of the baby dying or facing significant health
    complications. Risk factors for premature delivery include previous premature delivery and surgery to the cervix (neck of the womb), which includes treatments for abnormal smear tests or some Caesarean sections where the cut in the womb is inadvertently too low.
    Treatment options to prevent early delivery include inserting a stitch into the cervix in an attempt to keep it closed. This can be inserted at different levels within the cervix either via the vagina or at an operation through the abdomen. However it can be associated with significant complications for the mother.
    This study aims to assess the cervix in women who have previously had a premature
    delivery using MRI (an imaging technique that uses magnets and can see very subtle
    abnormalities in the structure of body tissues). Two groups of non –pregnant women
    will be assessed and compared:
    1. 20 women who had a premature delivery (<37 weeks) and surgery to the cervix.
    2. 20 women who had a term delivery (>37 weeks): 10 with surgery to the cervix and
    10 without.
    If women who delivered preterm with surgery to the cervix have specific abnormalities
    identified on the cervix at MRI this may target treatments: which women are most likely to benefit from a stitch and to ensure it is placed above the level of the abnormality.

  • REC name

    London - Bromley Research Ethics Committee

  • REC reference

    18/LO/0594

  • Date of REC Opinion

    25 May 2018

  • REC opinion

    Further Information Favourable Opinion