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Journals / Uzmanlık Sonrası Eğitim ve Güncel Gelişmeler Dergisi / 2006 / Cilt: 3 - Sayı: 2

Transvaginal cervical length measurement and Bishop score in the prediction of successful induction of labor in postterm pregnancy

Günaşımı gebeliklerde ultrasonografik servikal uzunluk ölçümünün ve bishop skorunun indüksiyon başarısını öngörmedeki yeri

Dilek UYGUR
Ayşe Seval ERDİNÇ
Leyla MOLLAMAHMUTOĞLU
Tamer MUNGAN
Pages
89–92
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

CONCLUSION: In women undergoing labor induction for postterm gestation, only the Bishop score and parity predicted accurately the vaginal delivery within 24 hours.

📌 3 Key Takeaways

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Objective & Hypothesis:OBJECTIVE: To compare transvaginal cervical length measurement and Bishop score in the prediction of successful induction of labor in postterm pregnancy.
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Key Findings & Data:RESULTS: Fifty-eight women (65.9%) had vaginal deliveries and in 52 (89.6 %) of these, vaginal deliveries were within the 24 hours of labor induction.
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Conclusion & Impact:CONCLUSION: In women undergoing labor induction for postterm gestation, only the Bishop score and parity predicted accurately the vaginal delivery within 24 hours.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Gebelik · İleriye dönük çalışma · Ultrasonografi

Abstract

OBJECTIVE: To compare transvaginal cervical length measurement and Bishop score in the prediction of successful induction of labor in postterm pregnancy. Design: Prospective randomized analysis. Setting: Zekai Tahir Burak Women Health Care, Research and Education Hospital Patients: Eighty-eight women whose labor was induced for postterm gestation. Main Outcome Measures: Parity, Bishop score, transvaginal sonographic cervical length measurement. RESULTS: Fifty-eight women (65.9%) had vaginal deliveries and in 52 (89.6 %) of these, vaginal deliveries were within the 24 hours of labor induction. The group of patients who succeeded to deliver within 24 hours differed significantly from the remaining patients by a higher parity, higher Bishop scores (6.4 vs 2.3) and a shorter cervix (23.5±1.0 vs 33.8±3). However, logistic regression analysis showed that only the Bishop score (0.019) and parity (0.006) were independent tatistically significant predictors of the vaginal delivery within 24 hours of induction. CONCLUSION: In women undergoing labor induction for postterm gestation, only the Bishop score and parity predicted accurately the vaginal delivery within 24 hours.

Özet

Objektif: Günaşımı gebeliklerde doğum indüksiyonunun başarısını öngörmede transvajinal serviks uzunluğunun ölçülmesinin Bishop skoru değerlendirmesi ile karşılaştırılması. Planlama: Prospektif randomize çalışma. Ortam: Zekai Tahir Burak Kadın Sağlığı Eğitim ve Araştırma Hastanesi. Hastalar: Günaşımı nedeniyle doğum indüksiyonu uygulanan 88 hasta. Değerlendirme Parametreleri: Parite, Bishop skoru, transvajinal serviks uzunluğu ölçümü. SONUÇ: Hastaların 41(%46.5)’i nullipar, 47(%53.4)’si multipardı. Hastaların 58 (%65.9) tanesi vajinal doğum yapmıştır. Vajinal doğumların %89’u(52 hasta) ilk 24 saatte olmuştur. İlk 24saatte doğum yapan hastalar yapmayanlara göre istatistiksel anlamlı olarak daha fazla pariteye, daha yüksek Bishop skoruna (6.4’ e karşılık 2.3) ve daha kısa servikse (23.5±1.0 ‘e karşılık 33.8±3)sahiptirler. Parite, Bishop skoru, ultrasonografik servikal uzunluk dahil edilerek oluşturulan logistik regresyon analizi ile Bishop skoru (P=0.019) ve parite (P=0.006) indüksiyon başarısını tahmin etmede istatistiksel anlamlı olarak bulundular. YORUM: Günaşımı gebeliklerde, Bishop skoru ve parite doğum indüksiyonuna cevap verecek hastaları bulmada transvajinal ultrasonografik serviks uzunluğu ölçümüne kıyasla daha başarılıdır.

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Cite This Article

UYGUR, D., ERDİNÇ, A. S., MOLLAMAHMUTOĞLU, L., MUNGAN, T. (2006). Transvaginal cervical length measurement and Bishop score in the prediction of successful induction of labor in postterm pregnancy. Uzmanlık Sonrası Eğitim ve Güncel Gelişmeler Dergisi, Cilt: 3 - Sayı: 2, 89–92. https://ajindex.com/articles/320568

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References (12)

  1. Lagrew DC, Freeman RK. Management of postdate pregnancy. Am J Obstet Gynecol. 1986; 154: 8- 13
  2. Sims ME, Walther FJ. Neonatal morbidity and mortality and long-term outcome of postdate infants. Clin Obstet Gynecol. 1989; 32: 285- 93
  3. Crowley P. Interventions for preventing or improving the outcome of delivery at or beyond term. The Cochrane Library, Issue 2, 2003
  4. Bishop EH. Pelvic scoring for elective induction. Obstet Gynecol 1964; 24: 266- 8
  5. Dhall K, Mittal SC, Kumar A. Evaluation of preinduction scoring systems. Aust N Z J Obstet Gynaecol. 1987; 27: 309- 11
  6. Rane SM, Pandis GK, Guirgis RR, Higgins B, Nicolaides KH. Preinduction sonographic measurement of cervical length in prolonged pregnancy: the effect of parity in the prediction of induction-to-delivery interval. Ultrasound Obstet Gynecol 2003; 22: 40- 4
  7. Crane JM, Van den Hof M, Armson BA, Liston R. Transvaginal ultrasound in the prediction of preterm delivery: singleton and twin gestations. Obstet Gynecol. 1997;90: 357- 63
  8. Chandra S, Crane JM, Hutchens D, Young DC. Transvaginal ultrasound and digital examination in predicting successful labor induction. Obstet Gynecol. 2001; 98: 2- 6
  9. Watson WJ, Stevens D, Welter S, Day D. Factors predicting successful labor induction. Obstet Gynecol. 1996; 88: 990- 2
  10. Gonen R, Degani S, Ron A. Prediction of successful induction of transvaginal ultrasonography and Bishop score. Eur J Ultrasound 1998; 7: 183- 7
  11. Gabriel R, Darnaud T, Chalot F, Gonzales N, Leymarie F, Quereux C. Transvaginal sonography of the uterine cervix prior to labor induction. Ultrasound Obstet Gynecol 2002; 19: 254- 7
  12. Ware V, Raynor D. Transvaginal ultrasonographic cervical measurement as a predictor of successful labor induction. Am J Obstet Gynecol 2000; 182: 1030- 2.