Transvaginal sonography of the uterine cervix prior to labor induction

• DOI: 10.1046/j.1469-0705.2002.00643.x
• Publication Date: 2003-03-12T23:21:38Z
• Authors: R. Gabriel; T. Darnaud; F. Chalot; N. Gonzalez; F. Leymarie; C. Quereux
• Keywords: Bishop score; Labor Induction; Cephalic presentation

Abstract Objectives To compare the Bishop score and transvaginal sonographic measurement of cervical length for predicting mode delivery following medically indicated induction labor in term patients. Methods The study was conducted prospectively 179 women who required labor. Inclusion criteria were singleton pregnancy, gestational age >37 weeks amenorrhea, cephalic presentation intact fetal membranes. Cervical measured upon arrival room but not considered when choosing procedure. Two receiver‐operating characteristic curves plotted to calculate best threshold value risk Cesarean section. Results Fifty‐three (29.6%) had a predictive mode, although section failure progress more frequent ≤5. Among with >5, outcome. However, among ≤5, <26 mm associated lower rate (20.6 vs. 42.9%; P = 0.006). Furthermore, interval between beginning ripening shorter case short cervix (11.01 ± 6.7 18.55 7.07 h; < 10 −5 ). Conclusion uterine cervix, by sonography, is better predictor than after medical reasons. In an unfavorable score, duration Copyright © 2002 ISUOG