scholarly journals Prediction of success of labor induction in very unfavorable cervix: comparison of 6 scores.

2022 ◽  
Vol 226 (1) ◽  
pp. S477-S478
Author(s):  
Pauline Tollon ◽  
Pauline Blanc-Petitjean ◽  
Elodie Drumez ◽  
Louise Ghesquière ◽  
Camille Le Ray ◽  
...  
Keyword(s):  
Labor Induction ◽  
Unfavorable Cervix

Chorioamnionitis after premature rupture of membranes in nulliparas undergoing labor induction: prostaglandin E2 vs. oxytocin

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Moti Gulersen ◽  
Cristina Zottola ◽  
Xueying Li ◽  
David Krantz ◽  
Mariella DiSturco ◽  
...  
Keyword(s):  
Prostaglandin E2 ◽  
Neonatal Intensive Care ◽  
Labor Induction ◽  
Cervical Ripening ◽  
Time Interval ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Chi Squared ◽  
Unfavorable Cervix ◽  
Cox Proportional Hazard Regression

Abstract Objectives To assess the risk of chorioamnionitis in nulliparous, term, singleton, vertex (NTSV) pregnancies with premature rupture of membranes (PROM) and an unfavorable cervix undergoing labor induction with either prostaglandin E2 (PGE2) or oxytocin only. Methods Retrospective cohort of NTSV pregnancies presenting with PROM who underwent labor induction with either PGE2 (n=94) or oxytocin (n=181) between October 2015 and March 2019. The primary outcome of chorioamnionitis was compared between the two groups. Statistical analysis included Chi-squared and Wilcoxon rank-sum tests, as well as logistic regression. For time to delivery, a Cox proportional hazard regression was used to determine the hazard ratio (HR) and adjusted HR (aHR). Results Baseline characteristics were similar between the two groups. Cervical ripening with PGE2 was associated with an increased rate of chorioamnionitis (18.1 vs. 6.1%; aOR 4.14, p=0.001), increased neonatal intensive care unit admissions (20.2 vs. 9.9%; aOR 2.4, p=0.02), longer time interval from PROM to delivery (24.4 vs. 17.9 h; aHR 0.56, p=<0.0001), and lower incidence of meconium (7.4 vs. 14.4%; aOR 0.26, p=0.01), compared to the oxytocin group. Conclusions Based on our data, the use of oxytocin appears both superior and safer compared to PGE2 in NTSV pregnancies with PROM undergoing labor induction.

Labor induction in nulliparous women with an unfavorable cervix: double balloon catheter versus dinoprostone

2014 ◽  
Vol 42 (2) ◽  
Author(s):  
Katarzyna Suffecool ◽  
Barak M. Rosenn ◽  
Stefanie Kam ◽  
Juliet Mushi ◽  
Janelle Foroutan ◽  
...  
Keyword(s):  
Balloon Catheter ◽  
Labor Induction ◽  
Double Balloon ◽  
Nulliparous Women ◽  
Unfavorable Cervix

Comparative Study for Labor Induction with the Foley Catheter and Double Balloon (cook) Catheter in Women with Unfavorable Cervix

2018 ◽  
Vol 08 (05) ◽  
Author(s):  
Hossam M Abdelnaby ◽  
Hussin M Abdeldayem ◽  
Ehab F Gerbash ◽  
Mervat Harira ◽  
Mohamed M El-Bakry Lashin ◽  
...  
Keyword(s):  
Comparative Study ◽  
Foley Catheter ◽  
Labor Induction ◽  
Double Balloon ◽  
Unfavorable Cervix

scholarly journals Bishop score versus transvaginal ultrasonographic measurement of cervical length in predicting successful labor induction in post-term pregnancy: prospective cohort study

2018 ◽  
Vol 7 (11) ◽  
pp. 4646
Author(s):  
Mansour A. Khalifa ◽  
Ahmed M. Abbas ◽  
Mohammed A. Gaber ◽  
Maher Salah
Keyword(s):  
Cervical Length ◽  
Labor Induction ◽  
Study Group ◽  
Bishop Score ◽  
Successful Induction ◽  
Unfavorable Cervix ◽  
Moderate Negative Correlation ◽  
Group 2 ◽  
Failed Induction ◽  
Group 1

Background: The current study aims to compare the efficacy of Bishop score assessment and transvaginal ultrasonographic measurement of the cervical length in prediction of the outcome of labor induction in post-term pregnancy.Methods: A comparative Prospective observational study conducted in Department of Obstetrics and Gynecology, Kom Ombo central hospital from January 2017 to October 2017. Pregnant women were classified into two groups of Bishop Score Group (1): ladies with (Bishop Score <5) = unfavorable cervix and Group (2): those with (Bishop Score >5) = favorable cervix. Also, they were classified into two groups of cervical lengths: Group (1): women with (cervical length <25mm, shorter cervix) and Group (2): those with (cervical length ≥25 mm, longer cervix). The Primary outcome was Bishop score by digital examination and Cervical length by TVS.Results: The study group was 100 women. Regarding sonographic assessment, 44 patients had cervical length <25 mm and the mean cervical length for the whole study group was 25.19±8.16 mm. Successful induction was achieved in 78 patients (78%), while CS was done in 22 patients due to failed induction.  No difference between both groups regarding the parity (p=0.063). When comparing women with successful VD versus those delivered by CS, we found significantly higher Bishop score in the first group 5.12 ± 1.93  vs 3.89 ± 1.71 in the second group (p=0.002). Additionally, VD group had significantly shorter cervix than CS group (22.31 ±7.14 vs. 35.37± 5.80 mm, p=0.007). The Bishop score showed significant moderate negative correlation with the cervical length (r=-0.589, p=0.001).Conclusions: Success of labor induction in women undergoing induction due to prolonged pregnancy can be highly predicted by cervical length as it is more objective and accurate than Bishop Score. The 25 mm cut-off point for cervical length was the best predictor of vaginal delivery.

scholarly journals Does Cervical Length Predict the Successful Labor Induction in Term Nulliparous Women Who Had Unfavorable Cervix?

2020 ◽  
Vol 25 (4) ◽  
pp. 540-545
Author(s):  
Gürcan Türkyılmaz ◽  
Onur Karaaslan ◽  
sebnem Turkyilmaz ◽  
emircan Ertürk
Keyword(s):  
Cervical Length ◽  
Labor Induction ◽  
Nulliparous Women ◽  
Unfavorable Cervix

Standardized Cesarean Risk Counseling with Induction: Impact on Racial Disparities in Birth Satisfaction

2021 ◽  
Author(s):  
Rebecca F. Hamm ◽  
Sindhu K. Srinivas ◽  
Jennifer Mccoy ◽  
Knashawn H. Morales ◽  
Lisa D. Levine
Keyword(s):  
Black Women ◽  
Racial Disparities ◽  
Multivariable Analysis ◽  
Routine Care ◽  
Labor Induction ◽  
Satisfaction Scale ◽  
Interaction Terms ◽  
Birth Satisfaction ◽  
Key Points ◽  
Unfavorable Cervix

Objective Our prior work demonstrated decreased birth satisfaction for Black women undergoing labor induction. We aimed to determine if implementation of standardized counseling around calculated cesarean risk during labor induction could reduce racial disparities in birth satisfaction. Study Design We implemented use of a validated calculator that provides an individual cesarean risk score for women undergoing induction into routine care. This prospective cohort study compared satisfaction surveys for 6 months prior to implementation (preperiod: January 2018–June 2018) to 1 year after (postperiod: July 2018–June 2019). Women with full-term (≥37 weeks) singleton gestations with intact membranes and an unfavorable cervix undergoing induction were included. In the postperiod, providers counseled patients on individual cesarean risk at the beginning of induction using standardized scripts. This information was incorporated into care at patient–provider discretion. The validated 10-question Birth Satisfaction Scale-Revised (BSS-R) subdivided into three domains was administered throughout the study. Patients were determined to be “satisfied” or “unsatisfied” if total BSS-R score was above or below the median, respectively. In multivariable analysis, interaction terms evaluated the differential impact of the calculator on birth satisfaction by race (Black vs. non-Black women). Results A total of 1,008 of 1,236 (81.6%) eligible women completed the BSS-R (preperiod: 330 [79.7%] versus postperiod: 678 [82.5%], p = 0.23), 63.8% of whom self-identified as Black. In the pre-period, Black women were 50% less likely to be satisfied than non-Black women, even when controlling for differences in parity (Black: 39.0% satisfied vs. non-Black: 53.9%, adjusted odds ratio [aOR] = 0.49, 95% confidence interval [CI]: 0.30–0.79). In the postperiod, there was no difference in satisfaction by race (Black: 43.7% satisfied vs. non-Black: 44.0%, aOR = 0.97. 95% CI: 0.71–1.33). Therefore, disparities in birth satisfaction were no longer present at postimplementation (interaction p = 0.03). Conclusion Implementation of standardized counseling with a validated calculator to predict cesarean risk after labor induction is associated with a decrease in racial disparities in birth satisfaction. Key Points

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