الفهرس 
PRE INDUCTION CERVICAL ASSESSMENTOnly 14 pages are availabe for public view
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Abstract
Corresponding
author:
Hytham M.
Elhamy
Mobile:
01140361352
Background: Induction of labor should be undertaken when the benefits of delivery to either
mother or fetus outweigh the risks of pregnancy continuation. Aim of the work: to assess the
efficacy of fFN compared to transvaginal ultrasound of cervix in prediction of successful
induction of labor for unfavorable cervix (bishop score 5 or less). Patients and Methods:
A prospective study was conducted in Ain Shams University OB GYN hospital. Patients
were recruited in this study from those attending to obstetric ER of Karmouz Hospital who
were nullipara pregnant women. Sample size was 40 women were assessed for study
eligibility and fulfill all inclusion criteria. Results: There was a significant relation
between mode of delivery and bishop score, while there was no significant relation
between mode of delivery and trnasvaginal ultrasound. The bishop score was significantly
correlated with FFN, all the cases with bishop 3 was negative FFN. The OSS show
insignificant relation with FFN. Also, there was no significant difference between negative
and positive FFN regarding CX length. The sensitivity of CX in predict successful labor
induction occurring within 24 hs. at cut off value 3.11 was 50.0 and the specificity was
53.2% while the accuracy was 51.1%. The Bishop score at cut off value 4.0, the sensitivity
was 60.0%, and specificity was 64.5% and the accuracy was 62.0%. The sensitivity of
alpha feto protein in predict successful labor induction occurring within 24hs. at cut off
value 1.56 was 85.0 and the specificity was 80.0% while the accuracy was 82.6%.
Conclusion: In conclusion, even though transvaginal cervical length measurement is an
objective method to assess the cervix where Bishop score is inconclusive, it may not
provide adequate information for the prediction of failed induction but can identify women
at risk for cesarean delivery. The alpha feto protein showed a highly significant sensitivity,
specificity and accuracy to predict the successful induction of labor.