Transvaginal Measurement of Cervical Length in the Prediction of Successful Induction of Labor | ||
| Al-Azhar International Medical Journal | ||
| Volume 2024, Issue 10, October 2024 | ||
| DOI: 10.58675/2682-339X.2716 | ||
| Authors | ||
| Faisal Mustafa; Ali Dahi; Madiha Mahmoud | ||
| Obstetrics and Gynecology, Faculty of Medicine for Boys, Al-Azhar University, Assuit, Egypt | ||
| Abstract | ||
| Background: The term "induction of labor" refers to a series of medical procedures used to artificially start uterine contractions that would eventually result in the cervix becoming dilated and effaced and the delivery of the baby. Transvaginal ultrasonography is a reliable, objective approach for measuring the length of the cervical canal. It is not an advanced technique that should only be performed in obstetric units and clinics. Aim and objectives: To assess the predictive usefulness of transvaginal assessment of cervical length in predicting vaginal delivery in pregnancies between 34 and 42 weeks of gestation. Subjects and methods: This was prospective research performed at the Department of Obstetrics and Gynecology, Dishna Central Hospital. One hundred pregnant women between 34 and 42 weeks of pregnancy and 100 women with control and necessitating induction of labor were consecutively recruited from September 2021 to May 2023. Result: There was a significant positive correlation among cervical length with Bishop score & Spontaneous vaginal delivery. There was a significant negative correlation between cervical length and Instrumental Caesarean delivery, Oxytocin augmentation, Uterine hyperstimulation, and SCBU admission. Conclusion: If a transvaginal ultrasound scan is available, it can be used instead of the existing Bishop's cervical scoring to determine whether or not it will be possible to induce labor in a term pregnancy. | ||
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