Value of transvaginal ultrasonography versus Bishop Score in predicting successful induction of labor | ||
| Evidence Based Women's Health Journal | ||
| Article 1, Volume 7, Issue 4, November 2017, Pages 125-130 PDF (501.49 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ebwhj.2017.5576 | ||
| Authors | ||
| Marwa Eid1; Amal Abdallah* 2; Ahmed ElHalwagy1 | ||
| 1Department of Obstetrics and Gynaecology, Faculty of Medicine, Cairo University | ||
| 2Department of Obstetrics and Gynecology, Faculty of Medicine, Beni-suef University, Egypt | ||
| Abstract | ||
| Background: Induction of labor is a widely used intervention in modern labor. Bishop score, the gold standard for assessing favourability for induction of labor is very subjective with a poor predictive value. Objective: To compare the transvaginal ultrasonography and the score proposed by Kepansereel in prediction of success of labor induction. Patients and Methods: A prospective study involved 50 women subjected to induction of labor. Preinduction assessment of Bishop score and ultrasound measurement of cervical length, posterior cervical angle and cervical funnelling was done. Results: 35 and 15 cases had successful and unsuccessful induction .Cervical length was significantly longer and posterior cervical angle was significantly larger in cases of failed induction (p < 0.001 for both). The Bishop score and Keepanasseril core were significantly lower in association with induction failure (p < 0.001 for both). Conclusion: Successful induction correlated significantly with the Bishop score and ultrasonographic cervical length and posterior cervical angle. | ||
| Keywords | ||
| Bishop Score; Induction of Labour; new objective scoring system; ultras-sonographic evaluation of the cervix | ||
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