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BMC Pregnancy and Childbirth

, 16:330

Labor, delivery, and postpartum health

Abstract

BackgroundBy increased concerns about the accuracy of the traditional methods to predict outcomes after induction of labor, developing new standards has a great clinical importance. Here, we compared the predictive value of translabial ultrasound measurements with Bishop Score to determine the suitability of induction of labor.

MethodsA homogenous population of primigravid women was recruited. Induction of labor was performed with low-dose infusion of oxytocin. Translabial ultrasound and assessment of Bishop Score were performed by two different obstetricians. Receiver–operating characteristics curves were obtained to measure area under curve and subsequently, test sensitivity of each method.

ResultsOne hundred women entered the investigation. Maternal body mass index was significantly higher among candidates of Cesarean section P: 0.02. Maternal age and fetus weight, gender and occiput position were not determinants of outcomes of induction of labor. Cervical length and fetal head-pubis symphysis distance measured by translabial ultrasound had a test sensitivity of 90 and 88 %, respectively which were slightly higher than sensitivity of Bishop score 84 %.

ConclusionThis study demonstrates that translabial measurements can be a suitable alternative method to monitor labor progress with an admissible predictive value compared with Bishop Score. It is a non-invasive method which provides valuable objective measurements and can be better accepted by women when considering the painful process which is required in evaluating Bishop Score.

KeywordsUltrasound Cesarean section Bishop  Download fulltext PDF



Author: Soghra Khazardoost - Fahimeh Ghotbizadeh Vahdani - Sahar Latifi - Sedighe Borna - Maryam Tahani - Mohammad Ali Rezaei - Mas

Source: https://link.springer.com/







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