Induction of Labor Affected Fetus / Newborn
Conditions
Brief summary
Pre induction assessment using bishop scoring system and Manipal cervical scoring system performed on 105 pregnant females
Detailed description
preinduction cervical assessment using The Burnett modification of Bishop score with 1. Cervical dilatation in centimeters will be given a score of zero if dilatation less than 1cm, a score of 1 if 1-2 cm dilated, a score of 2 if more than 2 cm dilataion. 2. Length of the cervix will be given a score of zero if more than 2 cm, a score of 1 if 1-2 cm, a score of 2 if less than 1 cm. 3. Station of fetal head will be given a score of zero if -2 or higher , a score of 1 if -1, a score of 2 if zero or lower. 4. Consistency of the cervix will be given a score of zero if firm, a score of 1 if soft and a score of 2 if soft and stretchable. 5. Position of the cervix will be given a score of zero if posterior, a score of 1 if mid position and a score of 2 if anterior. So, a total score (sum of all scores) of zero at a minimum to 10 at a maximum can be estimated. and also preinduction cervical assessment using transvaginal ultrasound and Manipal system where: 1. Length of the cervix will be given a score of zero if more than 3 cm, a score of 1 if 2-3 cm, a score of 2 if less than 2 cm. 2. Length of the funnel will be given a score of zero if absent, a score of 1 if ≤ 0.5 cm, a score of 2 if more than 0.5 cm. 3. width of the funnel will be given a score of zero if absent, a score of 1 if ≤ 0.5 cm, a score of 2 if more than 0.5 cm. 4. cervical position and shape will be given a score of zero if curved, a score of 2 if straight 5. Distance of presenting part to external os will be given a score of zero if more than 3 cm, a score of 1 if 2-3 cm, a score of 2 if less than 2 cm
Interventions
DIAGNOSTIC_TESTManipal cervical scoring system
Sponsors
Ain Shams University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
1. Singleton gestation at 37 completed weeks or greater . 2. Cephalic presentation. 3. Longitudinal lie. 4. Living fetus. 5. Intact membrane
Exclusion criteria
1. Previous cesarean delivery or rupture uterus. 2. Antepartum hemorrhage including (abruptio placenta, placenta previa or vasa previa). 3. Abnormal fetal lie or presentation. 4. Pervious uterine surgery as myomectomy. 5. Category II, III non stress test. 6. Pelvic structural deformity. 7. Intrautrine growth retardation or macrosomia (estimated fetal weight ˃ than 4kg). 8. Patients who received any pre induction ripening. 9. Active genital herpes. 10. Invasive cervical carcinoma
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the occurrence of active labor | within one day of labor induction | successful labor induction(IOL) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The interval from onset of induction to active labor | 24 hours | duration of induction |
| Successful vaginal delivery | 48 hours | — |
| The need for cesarean delivery (CS) | 24 hours | indication of CS (fetal distress ,failed induction,...) |
| maternal and fetal complication associated with IOL | during induction ,labor, and 24 hours postpartum | tachy systole, postpartum hemorrhage, fetal distress |
Outcome results
None listed