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Abstract
Previously clinical decisions have always been made on the basis of digital examination. The main purpose of cervical evaluation before induction of labor is the choice of induction agent, which may influence the duration of labor and the outcome. If the cervix is considered to be unripe prostaglandins are usually employed as preinduction medication, if the cervix is ripe, amniotomy and oxytocin infusion is recommended.
This study has demonstrated that the use of transvaginal ultrasound instead of the Bishop score for preinduction cervical assessment to choose induction agent significantly reduced the need for intracervical prostaglandin treatment without adversely affecting the success of induction ( rate of vaginal delivery) i.e without affecting the mode of delivery.