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

Not Applicable

Completed

• Conditions: Induced; Birth
• Interventions: Diagnostic Test: Transvaginal ultrasound; Diagnostic Test: Vaginal examination

• Registration Number: NCT03113227
• Lead Sponsor: Cairo University

Brief Summary

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.

Detailed 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.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2017-04-10
• Study First Submitted QC: 2017-04-10
• Study First Posted: 2017-04-13
• Study Start: 2017-04-15
• Status Verified: 2017-07
• Primary Completion: 2017-07-09
• Study Completion: 2017-07-09
• Last Update Submitted: 2017-07-13
• Last Update Posted: 2017-07-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 70

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

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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

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Failed induction of labor group	Vaginal examination	Both transvaginal ultrasound and vaginal examination will be done for that group
Successful Induction of labor group	Transvaginal ultrasound	Both transvaginal ultrasound and vaginal examination will be done for that group
Successful Induction of labor group	Vaginal examination	Both transvaginal ultrasound and vaginal examination will be done for that group
Failed induction of labor group	Transvaginal ultrasound	Both transvaginal ultrasound and vaginal examination will be done for that group

Primary Outcome Measures

Name	Time	Method
Value of posterior cervical angle	At around 10 minutes from admission to hospital	Value of posterior cervical angle will be measured by an investigator

Secondary Outcome Measures

Name	Time	Method
Length of the cervix	At around 10 minutes from admission to hospital	Length of the cervix will be measured by an investigator
Bishop score	At around 30 minutes from admission to hospital	Bishop score will be measured by an investigator

Trial Locations

Locations (1)

Department of Obstetrics and Gynecology, Kasr Al-Ainy hospital; 🇪🇬 Cairo, Greater Cairo, Egypt