Assessment of fetal adrenal gland volume as prediction of success of labour induction prospective observational study | ||||
Minia Journal of Medical Research | ||||
Volume 31, Issue 1, January 2020, Page 241-243 PDF (215.3 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mjmr.2022.221512 | ||||
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Authors | ||||
Mohamed H. Mosbeh; Emad M. Ibrahim; Eissa M. Mohamed; Abdelrhman A. Ahmed Ali | ||||
Department of Obstatrics and Gynecology, El-Minia Faculty of Medicine | ||||
Abstract | ||||
Background/aim: Is to compare the modified Bishop's score, demographic cervical length and fetal adrenal gland enlargement in prediction the success of labour induction and duration of labour. Methodds: This study will be conducted at Minia Maternity hospital as prospective observational study. It will include 100 pregnant women with an indication for labour induction. These women will be recruited from patients scheduled to under go labour induction at > 37weeks gestation. The most common indication for induction will include: postdate pregnancies, Preclampsia, diabetes mellitus and intrauterine growth retardation. An informed consent will be obtained from all patients participating in this study. Results: fetal gland volume measurement can be achived easily with minimal discomfort to patient. Successful induction of labour was more in women with fetal gland volume more than 4.8 mm. the best cutovalue for FGV is 4.8mm. Conclusion: More recently another study demonstrate that the three dimensional (3D) Ultrasonography measurement of fetal adrenal gland volume might help to predict preterm labour.(7) During preterm labour, abnormal activation of labour cascade lead to increase production of DHEAS in the central zone of fetal adrenal gland with subsequent enlargement of entire fetal adrenal gland.(8) This is first study, which compares the modified Bishop's score, Demographic cervical length and fetal adrenal gland enlargement in prediction of success of labour induction and duration of labour. Abbrevation: FGV= FETAL GLAND VOULME, BMI= body mass index, TVUS=trans vaginal ultrasound, fz= fetal zone, Tz=transitional zone, CPD= cephalopelvic disproportion. | ||||
Keywords | ||||
Fetal Gladvoulme; transvaginal US; misopristol; induction of labour . | ||||
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