Value of Measuring Cervical Angle and Length by Ultrasound in Prediction of Successful Induction of Delivery

Cairo University (CU)

Status: Completed

Conditions: Induced; Birth

Treatments: Diagnostic Test: Vaginal examination; Diagnostic Test: Transvaginal ultrasound

Study type: Interventional

Funder types: Other

Identifiers

NCT03113227

5355

Details and patient eligibility

About

Seventy ladies indicated for induction of delivery will be recruited. Two ways of assessment of their cervices will be done before actual induction of labor. First, ultrasound will be done to assess the angle and the length of the cervix. Then vaginal examination will be done to assess the characteristics of cervix. Analysis will be done to identify the best predictor of successful induction of labour.

Full description

Seventy patients indicated for induction of labor will be recruited. Two ways of assessment of their cervices will be done before actual induction of labor. First, transvaginal ultrasound will be done to assess the posterior angle and the length of the cervix. Then vaginal examination will be done to measure the Bishop score. Analysis will be done to identify the best predictor of successful induction of labour.

Enrollment: 70 patients

Sex: Female

Ages: 18 to 37 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Singleton pregnancy
• Gestational age between 35 and 42
• Presence of an indication for induction of labour as post-term pregnancy or rupture of membranes
• The fetus is living
• Cephalic presentation

Exclusion criteria

• Estimated fetal weight more than 4 kilograms
• Malpresentation
• Oligohydramnios
• Polyhydramnios
• Non-reassuring non-stress test before induction of labor
• Cephalo-pelvic disproportion
• Previous operation on the cervix as cautery or cerclage
• Previous cesarean section
• Any contraindication to vaginal delivery including placenta previa
• Anomalous fetus
• Morbid obesity

Trial design

Primary purpose: Diagnostic

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

---

70 participants in 2 patient groups

Successful Induction of labor group

Active Comparator group

Description:

Both transvaginal ultrasound and vaginal examination will be done for that group

Treatment:

Diagnostic Test: Vaginal examination

Diagnostic Test: Transvaginal ultrasound

Failed induction of labor group

Active Comparator group

Description:

Both transvaginal ultrasound and vaginal examination will be done for that group

Treatment:

Diagnostic Test: Vaginal examination

Diagnostic Test: Transvaginal ultrasound