Value of transvaginal ultrasonography versus Bishop Score in predicting successful induction of labor

Marwa Eid, Amal Abdallah, Ahmed ElHalwagy
2017 Evidence Based Women s Health Journal  
Induction of labor is a widely used intervention in modern labor. Bishop score, the gold standard for assessing favourability for induction of labor is very subjective with a poor predictive value. Objective: To compare the transvaginal ultrasonography and the score proposed by Kepansereel in prediction of success of labor induction. Patients and Methods: A prospective study involved 50 women subjected to induction of labor. Preinduction assessment of Bishop score and ultrasound measurement of
more » ... und measurement of cervical length, posterior cervical angle and cervical funnelling was done. Results: 35 and 15 cases had successful and unsuccessful induction .Cervical length was significantly longer and posterior cervical angle was significantly larger in cases of failed induction (p < 0.001 for both). The Bishop score and Keepanasseril core were significantly lower in association with induction failure (p < 0.001 for both). Conclusion: Successful induction correlated significantly with the Bishop score and ultrasonographic cervical length and posterior cervical angle.
doi:10.21608/ebwhj.2017.5576 fatcat:4jlccipzarbprh4tizgqx2zyxa