Induction of Labour
Conditions
Brief summary
To compare the use of transvaginal ultrasound (TVUS) of cervix to the Bishops score prior to induction of labour in term pregnancies, and the ability to predict Caesarean delivery for failure to progress.
Detailed description
The aim of this prospective study is to compare the use of transvaginal ultrasound (TVUS) of cervix to the Bishops score prior to induction of labour in term pregnancies, and the ability to predict Caesarean delivery for failure to progress.
Interventions
Transvaginal ultrasound is done to measure the cervical length, as per Fetal Medicine Foundation guidelines
Sponsors
Study design
Eligibility
Inclusion criteria
* Nulliparous or multipara * Singleton live pregnancy * Gestational age between 37 - 42 weeks * Cephalic presentation * Intact membranes * Reactive cardiotocograph tracing * Low risk pregnancy
Exclusion criteria
* Previous history of uterine surgery * Low lying placenta, placenta praevia and vaginal bleeding * Multiple pregnancy * Preterm Prelabour rupture of membrane/ prelabour rupture of membranes * Known allergy towards prostaglandins * Intrauterine fetal death * Known fetal anomaly * Estimated fetal weight \>3.8kg by scan * Grandmultiparity (more than 5) * BMI \>40kg/m2 * Diabetes and hypertension on treatment * Other medical illness on treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To determine the optimal cutoff points for cervical length measurement as predictor of successful labour induction | before induction of labour | measurement of cervical length in cm |
Countries
Malaysia