Accuracy of Different Scoring Systems for Predicting Successful Induction of Labor

Completed

• Conditions: Induction of Labor Affected Fetus / Newborn
• Interventions: Procedure: Manipal ultrasound scoring system; Procedure: Levine scoring system

• Registration Number: NCT04325256
• Lead Sponsor: Assiut University

Brief Summary

Induction of labour (IOL) nowadays is a common procedure in obstetric practice. Presently, IOL is done for 20% of pregnancies for various maternal and fetal indications and nearly 20% of labour inductions end up in caesarean deliveries. The success of IOL mainly depends upon "favourability" of the cervix which is usually assessed by manual examination and Scored as Bishop Score. However, this method is limited by subjectivity and reproducibility and though done in all the patients prior to IOL, several studies have demonstrated poor correlation between Bishop Score and outcome of IOL

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2020-03-26
• Study First Submitted QC: 2020-03-26
• Study First Posted: 2020-03-27
• Study Start: 2020-12-01
• Primary Completion: 2022-05-31
• Study Completion: 2022-07-15
• Status Verified: 2022-08
• Last Update Submitted: 2022-08-24
• Last Update Posted: 2022-08-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 400

Inclusion Criteria

1. Singleton pregnancy.
2. Pregnant ≥ 37 weeks gestation.
3. Fetus with longitudinal lie and vertex presentation.
4. Intact membranes.
5. No vaginal bleeding.

Exclusion Criteria

1. Patients with previous cesarean delivery.
2. Previous uterine surgery.
3. Antepartum hemorrhage.
4. Cephalopelvic disproportion.
5. Category II or III non-stress test.
6. Malpresentation.
7. Intrauterine fetal death.
8. Fetal growth restriction.
9. Fetuses with major congenital malformations

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
study group	Levine scoring system	All pregnant women who will attend the labor unit for induction of labour due to different indications during the study period will be invited to participate in the study.
study group	Manipal ultrasound scoring system	All pregnant women who will attend the labor unit for induction of labour due to different indications during the study period will be invited to participate in the study.

Primary Outcome Measures

Name	Time	Method
The rate of successful induction of labor	24 hours	an ability to achieve the active phase of labor corresponding to a cervical dilatation of ≥4 cm within 12 h of initiating oxytocin on the first day of induction

Trial Locations

Locations (1)

Ahmed Abbas; 🇪🇬 Assiut, Cairo, Egypt