Beta
295226

Role of Preinduction Transvaginal Ultrasound Measurment of Cervical Length in Prediction of Labour Induction Success

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

-

Abstract

Abstract Background: A common intervention in contemporary labor is induction of labor. Since its introduction in 1964, the Bishop score has been the gold standard for determining favorability for induction of labor. However, the Bishop score's assessment of the cervix's "favorability" prior to induction is very subjective, and several studies have shown that it has a poor prognostic value, particularly for women with low Bishop scores. Aim of Study: Was to assess the accuracy of transvaginal and other ultrasound parameters in predicting the outcome of labor induction. Patient and Method: Transvaginal ultrasonography was used to evaluate cervical length. In our research, 100 pregnant women between 37 and 42 weeks had labor induction. A digital cervical examination and Bishop score were recorded before to induction. Results: A statistically substantial negative link between Bishop Score and failure of induction and chance of C.S. and a statistically substantial positive connection between cervical length as evaluated by ultrasonography and those two out-comes. Conclusion: In this study we found that Bishop score and ultrasonographic cervical length both have a strong correlation with effective induction. The Bishop score does not appear to be as accurate as cervical length measured by ultrasonog-raphy in predicting successful vaginal delivery within 24 hours. The cutoff value for cervical length is 2.8cm, and cervical length has higher sensitivity, specificity, and diagnostic accuracy than bishop score.

DOI

10.21608/mjcu.2022.295226

Keywords

Induction of Labour, Bishop Score, Ultrasono-graphic evaluation of the cervix

Authors

First Name

DOAA ALAA, M.D.;

Last Name

NERMIN ABO SALEM, M.D.

MiddleName

-

Affiliation

-

Email

-

City

-

Orcid

-

First Name

AHMED ABD EL HAK, M.D.;

Last Name

MAI FATHY, M.Sc.

MiddleName

-

Affiliation

The Department of Obstetrics and Gynaecology, Faculty of Medicine, Cairo University

Email

-

City

-

Orcid

-

Volume

90

Article Issue

12

Related Issue

39806

Issue Date

2022-12-01

Receive Date

2023-04-13

Publish Date

2022-12-01

Page Start

2,417

Page End

2,425

Print ISSN

0045-3803

Online ISSN

2536-9806

Link

https://mjcu.journals.ekb.eg/article_295226.html

Detail API

https://mjcu.journals.ekb.eg/service?article_code=295226

Order

295,226

Type

Original Article

Type Code

263

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

MainTitle

Role of Preinduction Transvaginal Ultrasound Measurment of Cervical Length in Prediction of Labour Induction Success

Details

Type

Article

Created At

30 Dec 2024