Induced; Birth
Conditions
Keywords
induction of labor, Bishop score, posterior cervical angle, cervical length
Brief summary
Seventy ladies indicated for induction of delivery will be recruited. Two ways of assessment of their cervices will be done before actual induction of labor. First, ultrasound will be done to assess the angle and the length of the cervix. Then vaginal examination will be done to assess the characteristics of cervix. Analysis will be done to identify the best predictor of successful induction of labour.
Detailed description
Seventy patients indicated for induction of labor will be recruited. Two ways of assessment of their cervices will be done before actual induction of labor. First, transvaginal ultrasound will be done to assess the posterior angle and the length of the cervix. Then vaginal examination will be done to measure the Bishop score. Analysis will be done to identify the best predictor of successful induction of labour.
Interventions
DIAGNOSTIC_TESTTransvaginal ultrasound
Transvaginal ultrasound will be made for assessment of posterior cervical angle and cervical length
DIAGNOSTIC_TESTVaginal examination
Vaginal examination will be done for assessment of Bishop score
Sponsors
Cairo University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 37 Years
Healthy volunteers
No
Inclusion criteria
* Singleton pregnancy * Gestational age between 35 and 42 * Presence of an indication for induction of labour as post-term pregnancy or rupture of membranes * The fetus is living * Cephalic presentation
Exclusion criteria
* Estimated fetal weight more than 4 kilograms * Malpresentation * Oligohydramnios * Polyhydramnios * Non-reassuring non-stress test before induction of labor * Cephalo-pelvic disproportion * Previous operation on the cervix as cautery or cerclage * Previous cesarean section * Any contraindication to vaginal delivery including placenta previa * Anomalous fetus * Morbid obesity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Value of posterior cervical angle | At around 10 minutes from admission to hospital | Value of posterior cervical angle will be measured by an investigator |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of the cervix | At around 10 minutes from admission to hospital | Length of the cervix will be measured by an investigator |
| Bishop score | At around 30 minutes from admission to hospital | Bishop score will be measured by an investigator |
Countries
Egypt
Outcome results
None listed