Pre induction assessment using bishop scoring system and Manipal cervical scoring system performed on 105 pregnant females
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
Study Type
OBSERVATIONAL
Enrollment
105
the occurrence of active labor
successful labor induction(IOL)
Time frame: within one day of labor induction
The interval from onset of induction to active labor
duration of induction
Time frame: 24 hours
Successful vaginal delivery
Time frame: 48 hours
The need for cesarean delivery (CS)
indication of CS (fetal distress ,failed induction,...)
Time frame: 24 hours
maternal and fetal complication associated with IOL
tachy systole, postpartum hemorrhage, fetal distress
Time frame: during induction ,labor, and 24 hours postpartum
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