Lower uterine segment thickness associated with higher risk for cesarean delivery in pregnant women that indicated for labor induction. If this association occurs in general pregnant population, it may be a predictor for cesarean delivery. lower uterine thickness cesarean delivery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Singleton pregnancy, both nullipara and multipara 2. Gestational age between 34+0-36+6 weeks 3. Viable intrauterine fetus with cephalic presentation 4. No prior history that is indicated to delivery by cesarean section, such as prior cesarean delivery 5. No history of preterm birth 6. Gestational age has been corrected before 22+0 weeks of gestational age 7. No obvious fetal defect by ultrasonographic study between 18+0-22+0 weeks of gestational age 8. No contraindication in vaginal delivery
Exclusion criteria
Exclusion criteria: 1. Pregnant women who have diagnosed placenta previa 2. Pregnant women who have non-cephalic presentation at the day of delivery 3. Pregnant women who have indication for cesarean delivery that is not labor dystocia (included cephalopelvic disproportion, non-progressed labor, unfavorable cervix, or failed induction of labor) 4. Pregnant women who give birth before 37+0 weeks of gestation 5. Pregnant women who have denied to be recruited in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cesarean delivery at delivery Cesarean delivery | — |
Secondary
| Measure | Time frame |
|---|---|
| lower uterine segment thickness at GA 34+0 to 36+6 weeks Measure the thickness of the lower uterine segment by place the first caliber on lining of bladder mucosa and the another at the junction between uterine wall and amniotic fluid. | — |
Countries
Thailand
Contacts
Faculty of medicine, Srinakharinwirot university