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 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 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. 

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