Value of Measuring Cervical Angle and Length by Ultrasound in Prediction of Successful Induction of Delivery

Cairo University70 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

DIAGNOSTIC

Masking

QUADRUPLE

Enrollment

Conditions

Induced; Birth

Interventions

Transvaginal ultrasoundDIAGNOSTIC_TEST

Transvaginal ultrasound will be made for assessment of posterior cervical angle and cervical length

Vaginal examinationDIAGNOSTIC_TEST

Vaginal examination will be done for assessment of Bishop score

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 37 Years

Medical Language ↔ Plain English

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

Locations (1)

Department of Obstetrics and Gynecology, Kasr Al-Ainy hospital

Cairo, Greater Cairo, Egypt

Outcomes

Primary Outcomes

Value of posterior cervical angle

Value of posterior cervical angle will be measured by an investigator

Time frame: At around 10 minutes from admission to hospital

Secondary Outcomes

Length of the cervix

Length of the cervix will be measured by an investigator

Time frame: At around 10 minutes from admission to hospital

Bishop score

Bishop score will be measured by an investigator

Time frame: At around 30 minutes from admission to hospital

Data from ClinicalTrials.gov

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