Cervical Length and Bishop Score in Preinduction Cervical Assessment Prior to Induction of Labor

NCT02694315 | Completed Results DMC

• 1 other identifier: sonographic cervical length
• Study Type: observational
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

Comparison between Sonographic Cervical Length and Bishop Score in Preinduction Cervical Assessment prior to induction of labor as regards induction success.

Conditions

Cervical Dystocia

Outcome Measures

Primary Outcomes (2)

• Cervical Length Prior to Labor Induction

  median cervical length measured by transvaginal ultrasound in centimetres

  24 hours

• Bishop Score Prior to Induction of Labor

  median Bishop score assessed by digital vaginal examination as follows: 1. Cervical dilatation in centimeters will be given a score of zero if closed, a score of 1 if 1-2 cm dilated, a score of 2 if 3-4 cm dilated and a score of 3 if 5 cm or more dilataion. 2. Effacement of the cervix will be given a score of zero if 0-30%, a score of 1 if 40-50%, a score of 2 if 60-70% and a score of 3 if 80% or more. 3. Station of fetal head will be given a score of zero if -3, a score of 1 if -2, a score of 2 if -1 to zero and a score of 3 if 1 or more. 4. Consistency of the cervix will be given a score of zero if firm, a score of 1 if medium and a score of 2 if soft. 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. Note that a score more than 10 means patient is in labor not needing induction of labor.

  72 hours

Study Arms (1)

Induction of labor

200 women all are primigravida between 37-42 weeks gestation to whom induction of labor will be carried out in the casualty of Ain Shams University Maternity Hospital. All participants will have an assessment of the cervix by both Bishop score system and transvaginal measurement of cervical length.

Other: Bishop score; Other: cervical length

Interventions

Bishop score OTHER

calculation of modified Bishop score in numbers by digital vaginal examination

Induction of labor

cervical length OTHER

measuring cervical length by trans-vaginal ultrasound

Induction of labor

Eligibility Criteria

• Age: 17 Years - 40 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Probability Sample

Study Population

200 women all are primigravida between 37-42 weeks gestation to whom induction of labor will be carried out in the casualty of Ain Shams University Maternity Hospital

You may qualify if:

• Nulliparous patients.
• Singleton pregnancy.
• Living fetus with cephalic presentation.
• Absence of labor pain.
• Gestational age 37-42 weeks.
• No previous uterine surgical procedures.
• No Liquor abnormalities.
• Fetal weight less than 4 kilograms.

You may not qualify if:

• Non-vertex presentation.
• Previous uterine surgery.
• Multiple pregnancy.
• Fetal or maternal complications that might cause cesarean section.
• Liquor abnormalities.
• Fetal weight more than 4 kilograms.
• Abnormal umbilical artery Doppler indices or non-stress test.
• Asthmatic patients or women with allergy to prostaglandins.

Sponsors & Collaborators

• Ain Shams Maternity Hospital: lead

Study Sites (1)

Ain Shams maternity hospital

Cairo, Egypt

Location

Results Point of Contact

• Title: amr ahmed mahmoud riad
• Organization: Ain Shams Maternity hospital

amr.riad@med.asu.edu.eg

01005347179

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer of obstetrics and gynecology

Study Record Dates

• First Submitted: February 23, 2016
• First Posted: February 29, 2016
• Study Start: October 1, 2014
• Primary Completion: March 1, 2016
• Study Completion: March 1, 2016
• Last Updated: November 7, 2016
• Results First Posted: November 7, 2016

Record last verified: 2016-09

Locations

EG (1)