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Comparing bishop score with various sonographic criteria in the prediction of successful induction of labor

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

Obstetrics & Gynecology

Advisors

El-Didi, Hani M. , Helal, Umneya M. , Haggag, Hesham M.

Authors

Mousa, Abd-Allah Muhammad

Accessioned

2017-07-12 06:41:14

Available

2017-07-12 06:41:14

type

M.Sc. Thesis

Abstract

Induction of labor is a widely used intervention on the modern labor. The Bishop score, since its description in 1964, remains the gold standard for assessing favorability for induction of labor. However, the preinduction ‘favorability’ of the cervix as assessed by the Bishop score is very subjective and several studies have demonstrated a poor predictive value for the outcome of induction especially in women with a low Bishop score.The aim of this study was to evaluate the transvaginal ultrasonographic measurements and a new score proposed by Kepansereel et al. in 2012 combining parity and ultrasonographic measurements in predicting the success of induction of labor.Patients and Methods: In our study 50 women 35-42 weeks pregnancy underwent induction of labor. Before induction a digital examination of the cervix was performed and the Bishop scorenoted. Cervical length , posterior cervical angel and cervical funneling were then measured by a transvaginal ultrasound and the Kepansereel score noted.Results and conclusion: A statistically significant positive correlation between cervical length and posterior cervical angel measured by ultrasound and failure of induction and probability of C.S. and a statistically significant negative correlation between both scores (Bishop and Kepansereel) and failure of induction and probability of C.S.Successful induction correlated significantly with the Bishop score and ultrasonographically measured cervical length, posterior cervical angeland the Kepansereel Score. Kepansereel Score appear to be better than the Bishop score in prediction of successful vaginal delivery.

Issued

1 Jan 2014

DOI

http://dx.doi.org/10.21473/iknito-space/36408

Details

Type

Thesis

Created At

31 Jan 2023