scholarly journals Role of Assessing Cervical Length by Transvaginal Ultrasound before Induction of Labour

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Sherine Marian ◽  
◽  
Chidananda Murthy M ◽  
Rohit Kumar Sharma ◽  
Prajwith Rai ◽  
...  
Keyword(s):  
Transvaginal Ultrasound ◽  
Cervical Length ◽  
Induction Of Labour

scholarly journals Evaluation of pre induction scoring by clinical examination vs transvaginal sonography

2016 ◽  
Vol 6 (1) ◽  
pp. 228
Author(s):  
Sonali Kaur Sharma ◽  
Madhu Nagpal ◽  
CL Thukral
Keyword(s):  
Vaginal Delivery ◽  
Transvaginal Ultrasound ◽  
Cervical Length ◽  
Induction Of Labour ◽  
Labour Induction ◽  
Transvaginal Sonography ◽  
Bishop Score ◽  
Unfavourable Cervix ◽  
Successful Induction ◽  
Singleton Pregnancies

Background: The aim of the study was to find out pre-induction cervical length by TV Sonography, determine Bishops score and to co-relate the obstetric outcome with these two variables.Methods: A study was done on 100 women with singleton pregnancies at 37-42 weeks of gestation, admitted for induction of labour in the Department of Obstetrics and Gynaecology at SGRDIMSR, Vallah, Amritsar, Punjab, India. All women underwent cervical assessment by both transvaginal ultrasound and Bishop Score and the outcome of labour induction was determined.Results: Of the 100 women, 53 women had vaginal delivery and 47 landed into LSCS. Bishop score < 6 and cervical length > 3 cm are cut off values of cervical unfavourablity. Successful induction was achieved among 87.5% and 78% women with favorable cervix according to Bishop Score and Cervical length respectively .Among the 92 and 50 women with unfavourable cervix according to Bishop score and cervical length, 48 (52.17%) and 14 (28%) had vaginal delivery respectively.Conclusions: Hence, cervical length by transvaginal ultrasound is a better predictor for the success of induction of labour as compared with assessment by Bishop Score alone.

scholarly journals Role of transvaginal ultrasound in predicting preterm labor in singleton pregnancies

2018 ◽  
Vol 7 (2) ◽  
pp. 561
Author(s):  
Mehbooba Beigh ◽  
Mohammed Farooq Mir ◽  
Rifat Amin ◽  
Simrath Shafi
Keyword(s):  
Preterm Delivery ◽  
Predictive Value ◽  
Preterm Labor ◽  
Transvaginal Ultrasound ◽  
Cervical Length ◽  
Spontaneous Preterm Birth ◽  
Threatened Preterm Labor ◽  
Length Changes ◽  
A Prospective Study

Background: Preterm delivery (PTD) is a major cause of perinatal morbidity and mortality. Objective of present study was to identify the women at risk of preterm delivery with the help of trans-vaginal ultrasound by assessing cervical length changes, funneling of lower uterine segment, cervical dilatation.Methods: A prospective study was carried out over a period of 2 years on 50 patients with 24-36 weeks of gestation who clinically presented with signs of threatened preterm labor and were subjected to transvaginal sonographic measurement of cervical length.Results: Prediction of spontaneous preterm birth at <37 weeks of gestation with cervical length to be 2.75 cm has sensitivity of 95%, specificity of 96.5%, positive predictive value of 86.36% and negative predictive value of 98.7%.Conclusions: Transvaginal ultrasonography is the reliable, reproducible and objective method to assess cervix and to predict the risk of preterm delivery.

scholarly journals Prediction of labor induction outcome using different clinical parameters

2013 ◽  
Vol 141 (11-12) ◽  
pp. 770-774 ◽  
Author(s):  
Zaklina Tatic-Stupar ◽  
Aleksandra Novakov-Mikic ◽  
Mirjana Bogavac ◽  
Stevan Milatovic ◽  
Slobodan Sekulic
Keyword(s):  
Transvaginal Ultrasound ◽  
Cervical Length ◽  
Labor Induction ◽  
Induction Of Labor ◽  
Obstetrics And Gynecology ◽  
Clinical Parameters ◽  
Bishop Score ◽  
Test Results ◽  
Clinical Centre

Introduction. Induction of labor is one of the most common obstetric interventions in contemporary obstetrics. Objective. The aim of the study was to evaluate the clinical and sonographic parameters in prediction of success of labor induction. Methods. The prospective study included 422 women in whom induction of labor was carried out at the Department of Obstetrics and Gynecology of Clinical Centre of Vojvodina. The role of body mass index and age of women, parity Bishop score, cervical length measured by transvaginal ultrasound was evaluated in regard of the success of induction, which was considered successful if a vaginal delivery occurred within 24 hours after the onset of induction. Data were statistically analyzed by univariate statistical analysis and Pearson?s ?2 test. Results. Out of 422 women, induction of labor was successful in 356 (84.4%), and it failed in 66 (15.6%) cases. The values of Bishop score and cervical length had positive correlation with the success of induction. Conclusion. Bishop score and transvaginal cervical length were both reliable predictors in determining the success of labor induction, as well as parity and BMI. These parameters are mostly complementary, not competitive in prediction of labor induction success.

scholarly journals Role of cervical length evaluation with transvaginal ultrasound for prediction of preterm delivery in low risk pregnancy

2018 ◽  
Vol 7 (7) ◽  
pp. 2852
Author(s):  
Sirupa Venkata Geetika Reddy ◽  
S. R. Mudanur
Keyword(s):  
Preterm Birth ◽  
Predictive Value ◽  
Predictive Accuracy ◽  
Transvaginal Ultrasound ◽  
Birth Asphyxia ◽  
Cervical Length ◽  
Low Risk ◽  
Risk Pregnancy ◽  
Endocervical Canal

Background: Preterm birth possess a major health burden to the society due to its long - term morbidity, perinatal mortality and high financial expenditures associated with it. Transvaginal ultrasonographic measurement is an effective and objective way of measuring the cervical length. Cervical length <25 mm is considered as the best cervical parameter with a good predictive accuracy for preterm birth. This study was taken up to study the role of cervical length measurement in predicting preterm labor by Trans vaginal sonography (TVS) and to measure cervical length and follow up cases to study the fetal outcome.Methods: Sagital long-axis view of endocervical canal along the entire length was obtained with high frequency endovaginal probe and the length of cervix from external to the internal os was measured. Atleast three measurements were obtained and the best shortest measurement in millimeters was recorded. Transfundal pressure was applied for 15 seconds and cervical length was obtained again. The cases are followed till delivery and outcome is noted.Results: Out of 134 study group of low risk women, 5.9% women and 50% of the women with short cervical length (<25 mm) had preterm birth. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of our study are 75%, 95.2%, 50%, 98.4%, 94% respectively. Among the 134 newborns, majority of the admissions (14) were due to birth asphyxia followed by meconium aspiration syndrome.Conclusions: TVS is a useful technique in assessing the cervical changes during pregnancy and predicting the preterm birth especially when performed between 16-24 weeks of gestational age could identify all the women having short cervical length along with other changes of cervix.

scholarly journals A prospective study on comparison of cervical length measured transvaginally and bishop score in predicting successful labour induction

2021 ◽  
Vol 10 (4) ◽  
pp. 1457
Author(s):  
T. E. Balaji ◽  
Vijaya S.
Keyword(s):  
Vaginal Delivery ◽  
Transvaginal Ultrasound ◽  
Cervical Length ◽  
Induction Of Labour ◽  
Labour Induction ◽  
Bishop Score ◽  
Predictive Values ◽  
Vaginal Deliveries ◽  
Successful Induction ◽  
A Prospective Study

Background: Induction of labour is one of the common interventions in obstetric practice. Cervical assessment has been used as a prediction of the successful vaginal delivery. This study is designed to investigate transvaginal ultrasonographic cervical measurement as a predictor of duration of labour and successful induction resulting in vaginal delivery and compare the performance of ultrasonographic cervical measurement with that of the Bishop score in predicting the outcome of labour induction.Methods: It is a prospective observational study. In this study, for the 100 primigravida women with gestational age of 37-42 weeks of gestation admitted for induction of labour, the cervical length was measured by transvaginal ultrasound and then Bishop Score was assessed by digital examination. Predictive values for successful labour induction were detected and compared.Results: Using Spearman’s rho correlation both TVS cervical length and Bishop score have significant correlation in predicting the success of induction of labour. Cervical length is the better predictor of the likelihood of delivering vaginally within 24hrs.  In the receiver operating characteristic curves, the best cut-off points for the prediction of successful induction was 26mm for cervical length and 4 for the Bishop Score. However, TVS cervical length appears to be a better predictor than the Bishop Score, with a sensitivity of 58.1% and a specificity of 100% compared to 70.3% and 45.5% respectively.Conclusions: Transvaginal sonographic measurement of cervical length is a better predictor of the likelihood of successful induction of labour within 24hrs of induction and increased vaginal deliveries within 48 hours of induction when compared to Bishop Score.

scholarly journals Role of Cervical Length as Predictor of Preterm Labor and a Comparison of Transabdominal versus Transvaginal Ultrasound in Determining the Accuracy of Cervical Length

2010 ◽  
Vol 2 (2) ◽  
pp. 129-131
Author(s):  
MS Nanavati ◽  
SV Desai ◽  
PD Lakhani ◽  
AS Bansode
Keyword(s):  
Preterm Delivery ◽  
Preterm Labor ◽  
Transvaginal Ultrasound ◽  
Prospective Trial ◽  
Cervical Length ◽  
Short Cervix ◽  
Term Delivery ◽  
The Mean ◽  
The Difference

ABSTRACT Objectives 1. To evaluate the mean cervical length at 22 to 28 weeks of gestation by TAS and TVS and correlate its association with preterm labor. 2. To compare the difference in cervical length measured by the above two methods. Methods This was a prospective trial involving 100 pregnant women spanning a period of ten months. Results Eighteen women out of the 100 studied had preterm labor; of which 17 had a cervical length of less than 3 mm at 22 to 28 weeks. The percentage of women with preterm delivery with a short cervix was 83% by transabdominal scan (TAS) and 94% with transvaginal scan (TVS). Conclusion The mean cervical length was lesser amongst women who had a preterm delivery as compared to those with a term delivery. The mean cervical length by TAS was more than that by TVS thereby suggesting that TVS has a higher sensitivity for detection of preterm labor than TAS.

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

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Ahmed El-Sheikh ◽  
Mohammed Mahdy, ◽  
Anwar Esmail ◽  
Mohammed El Husseny Radwan
Keyword(s):  
Transvaginal Ultrasound ◽  
Cervical Length ◽  
Induction Of Labor ◽  
Successful Induction

A Clinico-pathological Study of Transvaginal Endometrial Thickness Measurement in Asymptomatic Postmenopausal Patients and Patients with Postmenopausal Bleeding

2019 ◽  
pp. 1
Author(s):  
Ayse Filiz Gokmen Karasu ◽  
Seda Ates ◽  
Tugba Gurbuz ◽  
Nurhan Sahin ◽  
Taha Takmaz ◽  
...  
Keyword(s):  
Endometrial Thickness ◽  
Transvaginal Ultrasound ◽  
Thickness Measurement ◽  
University Hospital ◽  
Postmenopausal Bleeding ◽  
Pathological Study ◽  
Endometrial Polyps ◽  
Endometrial Sampling ◽  
Proliferative Endometrium

<p><strong>Objective:</strong> We aimed to determine the frequency of endometrial pathologies of patients who presented to our outpatient clinic with postmenopausal bleeding (PMB) and asymptomatic menopausal patients with a finding of thickened endometrium on transvaginal ultrasonography.</p><p><strong>Study Design:</strong> This study was performed at Bezmialem University Hospital. Women who presented to our clinic from January 2015 to January 2017 were analyzed. Patients were divided to two groups. All patients underwent transvaginal ultrasound with a 7.5 MHz probe. Endometrial sampling was performed by either blind D&amp;C (dilatation &amp; curettage) or pipelle sampling. We excluded patient specimens that were obtained by hysteroscopy.</p><p><strong>Results:</strong> Electronic records of a total of 368 patients in menopause were inspected. Out of these patients; 287 (78%) underwent endometrium sampling indicated by bleeding. Eighty-one patients (22%) were asymptomatic; however, a thickened endometrium echo on TVUSG examination (≥ 5 mm) was suspected. The median age was 57 (42-85). In both groups the two leading causes of endometrial pathology was; endometrial polyps followed by proliferative endometrium. The frequency of endometrial cancer was 9.4 % for the PMB group and 1.2 % in the asymptomatic patient group</p><p><strong>Conclusion:</strong> Evaluation of PMB as soon as possible is essential for diagnosing endometrial pathologies. Role of endometrial thickness is decisive in detecting patients at high risk for malignancy especially with comorbid conditions. Histopathological evaluation is mandatory for ruling out malignancy.</p>

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