Ultrasonographic cervical length and Bishop score for prediction of labor induction outcome | ||
| Evidence Based Women's Health Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 30 September 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ebwhj.2025.361564.1432 | ||
| Author | ||
| usama elsaid* | ||
| Obstetrics and Gynecology department, Faculty of Medicine, Cairo University | ||
| Abstract | ||
| Goal: In order to contrast ultrasonographic cervical length and Bishop score for prediction of labor induction outcome. Patients and Methods: After giving their consent, 50 pregnant women were enrolled and split into two groups: Twenty-five pregnant women in group A received 25 mcg of misoprostol vaginally in the posterior vaginal fornix, and twenty-five pregnant women in group B received 25 mcg of misoprostol plus forty milligrams of isosorbide mononitrate vaginally in the posterior vaginal fornix. Results: Our study's findings indicate that a cervical length of 26.5 mm or less predicts effective induction with a sensitivity of 97.5% and specificity of 100%, whereas a Bishop score of 2.5 or above predicts successful induction with a sensitivity of 70% and specificity of 87.5% in our analysis. Every woman whose cervical length was greater than 26.5 did not achieve cervical ripening. Conclusion: From our study we can conclude that a cervical length of 26.5 mm or less is more predictive of successful induction, with a sensitivity of 97.5% and specificity of 100%. All women with a cervical length > 26.5 failed to reach cervical ripening. | ||
| Keywords | ||
| cervical length; Induction of Labour; Misoprostolm, Bishop score | ||
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