Uterocervical Angle Versus Cervical Length as a Predictor of Labor Induction in Term Singleton Pregnancy

NCT06558500 | Completed

• 1 other identifier: 2022/113
• Study Type: observational
• Target: 140
• Locations: 1 country
• Sites: 1

Brief Summary

Induction of labor is frequently performed in all obstetric clinics. Failed IOL has been defined in many different ways.Bishop scoring, which is a traditional and subjective method, is more frequently evaluated with cervical length, which has taken its place in preterm labor, and various ultrasonographic evaluations such as Uterocervical angle (UCA), Posterior cervical angle (PCA), cervical elastography, transvulvar ultrasonography, which have recently increased in popularity, have gained importance and led us to evaluate these parameters in our clinic. The relationship between the angles between the uterus and cervix and labor has been known for some time.

Conditions

Labor (Obstetrics)--Complications

Keywords

Nulliparous; labor induction; posterior cervical angle; uterocervical angle; cervical length

Outcome Measures

Primary Outcomes (1)

• The efficacy of uterocervical angle

  The efficacy of uterocervical angle in predicting labor induction success in nulliparous patients at term.

  2 days

Study Arms (2)

group 1

delivered vaginally with successful induction of labor

Procedure: Uterocervical angle

group 2

failed induction and delivered with C/S

Procedure: Uterocervical angle

Interventions

Uterocervical angle PROCEDURE

With the patient in the lithotomy position and empty bladder, care was taken to avoid applying pressure to the cervix with the transvaginal probe. The cervix was aligned in the midline, and the endocervical canal was visualized throughout its length.During cervical measurement, care was taken to ensure that the internal os, external os, and entire endocervical canal were visible in the same image. With the endocervical canal, external os, and internal os linearly displayed on the screen, the angle between the endocervical canal, anterior and posterior uterine segment was measured using the ultrasound's "angle measurement" feature.For the measurement of the uterocervical angle, the first line of the angle was defined along the endocervical canal used for measuring cervical length, and the second line was drawn from the internal os along the anterior uterine segment for a minimum of two centimeters. The angle between these two lines was recorded as the uterocervical angle in the form.

Also known as: Posterior cervical angle

group 1; group 2

Eligibility Criteria

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

Study Population

This prospective observational study was conducted at the Department of Obstetrics and Gynecology, Ankara Etlik Hospital, between June 2024 and August 2024, on 140 term pregnancies admitted for maternal or fetal reasons , planned for labor induction.

You may qualify if:

• weeks and older Nulliparity Live, singular Verteks presentation Cervical opening\<3 cm Bishop score\<7 Patients not in active action

You may not qualify if:

• Presence of contraindications to vaginal delivery (pls previa, detached pls...)
• History of previous uterine surgery
• Multiple pregnancies
• Non-vertex presentation
• Uncontrolled HT Uncontrolled DM
• Fetal distress
• Macrosomic fetus Patients in active labor

Sponsors & Collaborators

• Etlik Zubeyde Hanım Women's Health Care, Training and Research Hospital: lead

Study Sites (1)

Etlik Zubeyde Hanım Women's Health Education Hospital

Ankara, 06000, Turkey (Türkiye)

Location

Study Officials

• Ali Turhan ÇAĞLAR

  Etlik Zübeyde Hanım EAH

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Target Duration: 2 Days
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Medical doctor, Specialist of gynecology and obstetrics

Study Record Dates

• First Submitted: August 14, 2024
• First Posted: August 16, 2024
• Study Start: June 1, 2024
• Primary Completion: August 1, 2024
• Study Completion: August 2, 2024
• Last Updated: August 20, 2024

Record last verified: 2024-08

Locations

TU (1)