Transvaginal Ultrasound As Predictors of Successful Induction of Labour

Universiti Kebangsaan Malaysia Medical Centre294 enrolled

Overview

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.

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.

Study Type

OBSERVATIONAL

Enrollment

294

Conditions

Induction of Labour

Interventions

Transvaginal ultrasound scanDIAGNOSTIC_TEST

Transvaginal ultrasound is done to measure the cervical length, as per Fetal Medicine Foundation guidelines

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 45 Years

Medical Language ↔ Plain English

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

Locations (1)

Universiti Kebangsaan Malaysia Medical Centre

Kuala Lumpur, Malaysia

Outcomes

Primary Outcomes

To determine the optimal cutoff points for cervical length measurement as predictor of successful labour induction

measurement of cervical length in cm

Time frame: before induction of labour

Data from ClinicalTrials.gov

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