Predictive Value of Bishop Score, Cervical Length and Head–Perineal Distance for the Success of Vaginal Delivery in Primigravida with Premature Rupture of Membrane

M Abd Elghfar, Mohamed Hassan; Abd El-Malek, Ahmad Sameer; Salah Ahmed, Esraa

doi:10.21608/mjmr.2024.302406.1756

	Predictive Value of Bishop Score, Cervical Length and Head–Perineal Distance for the Success of Vaginal Delivery in Primigravida with Premature Rupture of Membrane
Minia Journal of Medical Research
Articles in Press, Accepted Manuscript, Available Online from 05 August 2024
Document Type: Original Article
DOI: 10.21608/mjmr.2024.302406.1756
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Authors
Mohamed Hassan M Abd Elghfar¹; Ahmad Sameer Abd El-Malek²; Esraa Salah Ahmed ³
¹Obstetrics and Gynecology, Faculty of Medicine , Minia university
²Obstetrics and Gynecology, faculty of medicine, Minia university, Minia, Egypt
³Obstetrics and Gynaecology Department, Faculty of Medicine, El-Minia General Hospital, Minia, Egypt
Abstract
Background: Induction of labor is indicated when benefits to the mother or the fetus outweigh those of continuing the pregnancy including cases of post-term pregnancy, preeclampsia or fetal growth restriction. The aim of this study: was to analyze the efficacy of ultrasonography evaluation of the Head-Perineum Distance in predicting the likelihood of a successful vaginal birth before inducing labor. Methods: This prospective observational study was carried out on 120 pregnant patients aged from18 to 32 years old, singleton pregnancy, primigravida, 36–41 weeks gestation, living fetus, cephalic presentation, preinduction reassuring non stress test and premature rupture of membranes (PROM). Foetal Head-Perineum Distance (FHPD) was measured by a transpernial ultrasound. Results: An ultrasound measurement of the Foetal Head-Perineum Distance showed a strong positive connection with both effective induction and the likelihood of a cesarean section. The Bishop score and head perineal distance exhibited significant differences between the two groups. The cervical length did not show a statistically significant difference between the two groups. The predictability of FHPD was superior in all respects when compared to Bishop's score and cervical length. Conclusions: The foetal head - perineum distance is reliable method in predicting successful vagina delivery. Ultrasound examination is simple, non-invasive, and tolerated by women than pelvic examination.
Keywords
Induction of Labour; Bishop Score; Ultrasonography; Foetal Head-Perineum Distance; Primigravida


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