Transvaginal Sonographic Measurement of Cervical Length Versus Bishop Score in Induction of Labour for Prediction of Caesarean Delivery.

NCT03430804 | Completed

• 1 other identifier: Asu-August 2017
• Study Type: observational
• Target: 320
• Locations: 1 country
• Sites: 1

Brief Summary

Transvaginal sonographic measurement of cervical length versus Bishop score in labour induction at term for prediction of Caesarean delivery. This study is prospective study. This study will be carried out in Ain-shams maternity hospital. Sample size of 320 parturients.

Conditions

Failed Induction; Cervical Dystocia

Outcome Measures

Primary Outcomes (2)

• Cervical length

  median cervical length measured by transvaginal ultrasound in centimetres.

  24 hours

• Bishop score

  median Bishop score assessed by digital vaginal examination as follows: 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 dilatation. 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. 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. 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. 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

Study Arms (1)

Single gruop320 parturients

Measurement of cervical length and digital examination of Bishop score in 320 women undergoing induction of labour will be carried out in ain shams university maternity hospital.

Other: Bishop score calculation of modified Bishop score in numbers by digital vaginal examination

Interventions

Bishop score calculation of modified Bishop score in numbers by digital vaginal examination OTHER

Measurement of cervical length by transvaginal ultrasound and digital examination of Bishop score in 320 parturients undergoing labour induction at term

Also known as: cervical length measuring cervical length by trans-vaginal ultrasound

Single gruop320 parturients

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Probability Sample

Study Population

Single group 320 parturients udergoing induction of labour at term

You may qualify if:

• \. Age (18-35) years. 2. Singleton pregnancy. 3. (37-42) weeks gestation. 4. Living fetus. 5. Cephalic presentation. 6. Absence of active labour. 7. No contraindication to vaginal delivery. 8. Average amount of clear liquor. 9. No history of uterine scar (myomectomy or previous C.S(.

You may not qualify if:

• \. Malpresentation. 2. Major fetal congenital anomalies as hydrocephalous \& dead fetus. 3. Patient received any pre induction ripping methods for example: (Acetic Acid-Prostaglandins).
• \. Any medical history contraindicating vaginal delivery. 5. Assessment meconium staining to liquor or any evidence of chorioamnionitis. 6. Previous uterine surgery. 7. Multiple gestations. 8. Women with allergy to prostaglandins.

Sponsors & Collaborators

• Ain Shams University: lead

Study Sites (1)

Mohamed adel mazroa

Tanta, Egypt

Location

Study Design

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

Study Record Dates

• First Submitted: January 31, 2018
• First Posted: February 13, 2018
• Study Start: August 14, 2017
• Primary Completion: December 14, 2017
• Study Completion: January 12, 2018
• Last Updated: February 14, 2018

Record last verified: 2018-02

Locations

EG (1)