الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Induction of labor has become more frequent over the latest decades. Success of the induction of labor is determined, in large part, by the initial state of the cervix. Traditionally, preinduction cervical assessment is based on the digital examination of the cervix using the pelvic scoring system proposed by Bishop. To evaluate the value of the Posterior cervical angle and the cervical length, both measured by ultrasonography, compared to the Bishop score in prediction of the outcome of induction of labor. Objective: To assess the value of the posterior cervical angle and the cervical length both measured by ultrasonography compared to the Bishop score in the prediction of the IOL outcome in pregnant women at full-term gestation. Patients and Methods: This cross-sectional study was conducted at Ain Shams University Maternity Hospital (labor ward) in the period between January 2024 and June 2024. Results: Statistical analysis of our results showed that successful induction of labor correlates with significantly higher PCA (118.19 ± 8.83 vs. 105.89 ± 6.7), lower basal CL (30.58 ± 4.54 vs. 38.79 ± 6.92) and higher Bishop Score (3.75 ± 1.18 vs. 1.86 ± 1.1) (P= <0.001). There were no differences in the rate of success of induction between the studied groups as regards demographic characteristics (age, BMI), gestational age and ROMs. Statistical analysis of our results showed that there was no significant statistical difference according to induction outcome regarding neonatal condition, NICU admission and intrapartum sequelae (P= 1.000 & 1consecutively) Conclusion: In prediction of successful induction of labor, CL as significant as Bishop score in prediction of induction of labor at ≤ 32 mm, ≥ 3 cutoff point diagnostic accuracy =82.0% & 82.0%) respectively and cervical length was significantly lower among cases with successful induction of labor. While PCA was the most specific cutoff >110 degrees, with a sensitivity of 75.0%, a specificity of 92.86 % and accuracy of 80%. |