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134996

Transvaginal Ultrasound Cervical Length as an Indicator for Successful Induction of Labor

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Obstetrics & Gynaecology

Abstract

Background: Induction of labour is a common obstetric practice which refers to the process where the uterine contractions are initiated by medical and surgical means before the onset of spontaneous labour. The aim of this work was to evaluate the role of Preinduction transvaginal ultrasonographic measurement of cervical length as an indicator of a successful induction of labor. Methods: A cross-sectional study was carried out in Zagazig University Maternity Hospital during the period from May 2017 till November 2018. Included 171 pregnant women admitted for induction of labour.40 women delivered by Cesarean section (positive group) and 131 women delivered vaginally (negative group). All patients were subjected to full history taking, general, abdominal and pelvic examinations and investigations (including CBC, Rh, transvaginal ultrasound and non-stress test). All patients had vaginal examination for assessing the Bishop score before induction of labour and transvaginal ultrasound for assessment of cervical length. Results: Our study showed that the cervical length was significantly higher (31 ± 5.93 mm versus 22.61 ±3.67, p-value =0.00) and the Bishop Score significantly lower (5.95 ± 1.13 versus 7.87 ± 1, p-value = 0.00, respectively) in patients undergoing cesarean delivery compared with those delivering vaginally. Conclusions: Transvaginal ultrasonography proved to be better in predicting the success of induction of labor by having higher sensitivity, specificity, higher predictive value and better tolerability and less inter and intra observer variation.

DOI

10.21608/zumj.2021.46737.1974

Keywords

transvaginal ultrasound, Cervical length, induction of labor

Authors

First Name

Ahmed

Last Name

El-Sheikh

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, Egypt

Email

drshe2o87@gmail.com

City

-

Orcid

-

First Name

Mohammed

Last Name

Mahdy,

MiddleName

Sabry

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, Egypt.

Email

drsabryeg@yahoo.uk.com

City

-

Orcid

-

First Name

Anwar

Last Name

Esmail

MiddleName

Ezzat

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, Egypt.

Email

anwarezzat@gmail.com

City

-

Orcid

-

First Name

Mohammed

Last Name

El Husseny Radwan

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, Egypt.

Email

hussenyradwan@gmail.com

City

Zagazig

Orcid

-

Volume

29

Article Issue

2.1

Related Issue

42517

Issue Date

2023-03-01

Receive Date

2020-10-24

Publish Date

2023-03-01

Page Start

67

Page End

73

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_134996.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=134996

Order

11

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

Transvaginal Ultrasound Cervical Length as an Indicator for Successful Induction of Labor

Details

Type

Article

Created At

30 Dec 2024