scholarly journals Cervical Length as a Predictor of Success of Induction of Labor

2021 ◽  
Vol 85 (2) ◽  
pp. 3921-3926
Author(s):  
Ibrahim Mohiy El-Maghraby
Keyword(s):  
Cervical Length ◽  
Induction Of Labor ◽  
Predictor Of Success

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

Transvaginal sonographic assessment of the cervix for prediction of successful induction of labor in nulliparous women

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Mohammed Abd-Elhameed Abd-Elhafeez ◽  
Alaa Eldin Elguindy ◽  
Mohamed Abu El Fetoh Mohamed Hamed ◽  
Maii Nawara
Keyword(s):  
Cohort Study ◽  
Significant Positive Correlation ◽  
Transvaginal Ultrasound ◽  
Significant Negative Correlation ◽  
Cervical Length ◽  
Labor Induction ◽  
Induction Of Labor ◽  
Cutoff Value ◽  
Nulliparous Women ◽  
Successful Induction

Abstract Background Induction of labor is commonly performed in obstetric practice. Many methods have been suggested as good predictors of the outcome of labor induction, yet none of them is satisfactory enough. Objective To assess cervical length and uterocervical angle measured by transvaginal ultrasound as predictors of successful induction of labor. Methodology Prospective cohort study was conducted in a university-affiliated hospital over 150 nulliparous women undergoing induction of labor, in the period between May 2018 and August 2019. Transvaginal sonographic measurement of cervical length and uterocervical angle was done before induction of labor by prostaglandins. The patients were followed up till delivery and the outcome was recorded. Results The best cut-off value of cervical length for prediction of success of labor induction was 32.3 mm with 60% sensitivity and 56% specificity and the best cutoff value of uterocervical angle was 110.2 degrees with 87% sensitivity and 93% specificity. The cervical length showed a significant negative correlation while the uterocervical angle showed a significant positive correlation with the success of labor induction. Conclusion Cervical length and uterocervical angle are good predictors of successful labor induction.

scholarly journals P16.12: Preinduction sonographic measurement of cervical length in the prediction of successful induction of labor

2011 ◽  
Vol 38 (S1) ◽  
pp. 227-228
Author(s):  
A. de Gennaro ◽  
A. Vimercati ◽  
A. Camporeale ◽  
M. Panzarino ◽  
I. Totaro ◽  
...  
Keyword(s):  
Cervical Length ◽  
Induction Of Labor ◽  
Successful Induction

Diagnostic accuracy of posterior cervical angle and cervical length in the prediction of successful induction of labor

2018 ◽  
Vol 141 (1) ◽  
pp. 102-107 ◽  
Author(s):  
Akram M. Al-Adwy ◽  
Sherin M. Sobh ◽  
Doaa S. Belal ◽  
Eman F. Omran ◽  
Amr Hassan ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Cervical Length ◽  
Induction Of Labor ◽  
Successful Induction

scholarly journals Study of pre induction transvaginal ultra-sonographic cervical length and its comparison with bishop score in predicting successful labor induction

2021 ◽  
Vol 10 (6) ◽  
pp. 2335
Author(s):  
Santosh Khajotia ◽  
Madhuri Sharma ◽  
Mool Chand Khichar ◽  
Manoj Gupta ◽  
Kavita Choudhary
Keyword(s):  
Vaginal Delivery ◽  
Prospective Observational Study ◽  
Mode Of Delivery ◽  
Cervical Length ◽  
Labor Induction ◽  
Induction Of Labor ◽  
Bishop Score ◽  
Receiver Operating Characteristic Curves ◽  
Medical College ◽  
Successful Induction

Background: Induction of labor means initiation of uterine contraction, after period of viability by any method (medical, surgical or combined) before spontaneous onset of labor for the purpose of vaginal delivery. The condition of cervix or favorability is important for successful labor induction. Assessment of cervix has been used as a predictor of successful vaginal delivery. Induction of labor carried out in approximately 20% of all pregnancies. Aim and objectives of the current study were to compare the predictive value of trans-vaginal ultra-sonographic measurement of cervical length versus Bishop score prior to induction of labor in predicting the mode of delivery and maternal and fetal outcome.Methods: This prospective observational study was conducted in the department of obstetrics and gynecology, Sardar Patel medical college and associated group of hospitals, Bikaner between February to November 2020. Study group included 100 pregnant women in which induction of labor was performed at 37-42 weeks of gestation.Results: Bishop Score appears to be a better predictor than the cervical length with sensitivity of 1.00 and a specificity of 0.12 compared to 0.52 and 1.00 respectively. In the receiver operating characteristic curves, the cut-off point for the prediction of successful induction taken was 2.6 cm cervical length and >4 for the bishop score.Conclusions: TVS cervical length could be used as alternative to Bishop score for prediction of successful labor induction in the sitting where the appropriate equipment and expertise are available. Bishop score and TVS cervical length both are good predictors of successful induction of labor. 

scholarly journals Role of transvaginal ultrasonographic cervical assessment in predicting the outcome of induction of labor

2019 ◽  
Vol 8 (2) ◽  
pp. 628
Author(s):  
Kiran Aggarwal ◽  
Anita Yadav
Keyword(s):  
Predictive Value ◽  
Cervical Length ◽  
Labor Induction ◽  
Induction Of Labor ◽  
Labour Induction ◽  
Transvaginal Sonography ◽  
Bishop Score ◽  
Digital Examination ◽  
Significant Difference ◽  
Successful Induction

Background: Induction of labor is the most common intervention in modern obstetrics. The pre-induction ‘favourability’ of the cervix as assessed by the bishop score is very subjective. Transvaginal sonography appears to be a feasible alternative to the traditional bishop’s score. Aim of this study, was to compare cervical assessment by transvaginal sonography and digital examination in prediction of outcome of labor induction.Methods: Three hundred women at term with maternal and foetal indications for labor induction were included in the study. Modified Bishop score was assessed by digital examination and the cervical length was measured by Transvaginal sonography (TVS). Successful labor induction was taken as a vaginal delivery within 24 hours from the start of induction. Data were analyzed using SPSS for Windows 15.0.Results: Labour induction was successful in 81.33% of patients. Mean cervical length by digital examination was 2.6 cm, whereas the mean sonographic cervical length was 3.4cm. There was a significant difference of 0.8cm in mean cervical length measured by two methods (P=0.01). The best cut off point for predicting successful induction of labor was ≤3.4cm for sonographic cervical length (sensitivity 0.82, specificity 0.87, positive predictive value 0.77 and negative predictive value 0.25). The best cut off point for Modified Bishop score was 2 (sensitivity 0.95, specificity 0.93). The ROC curve showed that compared to TVS cervical length, Modified Bishop score was the best parameter for predicting successful induction of labor.Conclusions: Transvaginal sonographic cervical length measurement can be used as an adjunct tool to the traditional Bishop score for predicting successful labor induction in high risk pregnancies.

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