The Success of Labor Induction Based on a Modified BISHOP Score.

Rambam Health Care Campus

Status: Completed

Conditions: Induction of Labor Affected Fetus / Newborn

Treatments: Diagnostic Test: Vaginal examination.; Diagnostic Test: Transvaginal sonography.

Study type: Observational

Funder types: Other

Identifiers

NCT04220320

0622-19-RMB

Details and patient eligibility

About

Pregnant women at term will be divided randomly into 3 groups:

1. Gynecological evaluation based on classic BISHOP score.
2. Gynecological evaluation based on a modified BISHOP score.
3. Gynecological evaluation based on cervical length as measured by transvaginal sonography.

After gynecological evaluation, women will undergo induction of labor based on obstetric evaluation according to the group they were part of.

Full description

Women presenting to the obstetric emergency room for follow-up for various obstetric/other medical conditions over 37 weeks' gestation that are candidates for labor induction will receive an explanation regarding the study and sign informed consent.

The women will be divided randomly into 3 groups:

1. Gynecological evaluation based on classic BISHOP score.
2. Gynecological evaluation based on a modified BISHOP score.
3. Gynecological evaluation based on cervical length as measured by transvaginal sonography.

After gynecological evaluation, women will undergo induction of labor based on obstetric evaluation according to the group they were part of.

Enrollment: 758 patients

Sex: Female

Ages: 18 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Singleton pregnancies.
• Candidates for vaginal delivery.

Exclusion criteria

• Multiple pregnancies.
• Candidates for cesarean section.

Trial design

758 participants in 3 patient groups

Classic BISHOP score

Description:

Gynecological evaluation based on vaginal examination including cervical dilatation, effacement, texture, station and position.

Treatment:

Diagnostic Test: Vaginal examination.

Modified BISHOP score

Description:

Gynecological evaluation based on vaginal examination including cervical dilatation and effacement alone.

Treatment:

Diagnostic Test: Vaginal examination.

Cervical Length

Description:

Gynecological evaluation based on cervical length measured by transvaginal sonography.

Treatment:

Diagnostic Test: Transvaginal sonography.