Transvaginal Sonographic Measurement of Cervical Length Versus Bishop Score in Induction of Labour at Term for Prediction of Caesarean Delivery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 320
- 试验地点
- 1
- 主要终点
- Cervical length
研究概览
简要总结
Transvaginal sonographic measurement of cervical length versus Bishop score in labour induction at term for prediction of Caesarean delivery. This study is prospective study. This study will be carried out in Ain-shams maternity hospital. Sample size of 320 parturients.
详细描述
Patients and Methods
Study design:
This study is prospective study, comparative clinical trial for a test against a gold standard with blinding of the evaluator
Study setting:
This study will be carried out in Ain-Shams university maternity hospital.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Age (18-35) years.
- •Singleton pregnancy.
- •(37-42) weeks gestation.
- •Living fetus.
- •Cephalic presentation.
- •Absence of active labour.
- •No contraindication to vaginal delivery.
- •Average amount of clear liquor.
- •No history of uterine scar (myomectomy or previous C.S(.
排除标准
- •Malpresentation.
- •Major fetal congenital anomalies as hydrocephalous & dead fetus.
- •Patient received any pre induction ripping methods for example: (Acetic Acid-Prostaglandins).
- •Any medical history contraindicating vaginal delivery.
- •Assessment meconium staining to liquor or any evidence of chorioamnionitis.
- •Previous uterine surgery.
- •Multiple gestations.
- •Women with allergy to prostaglandins.
结局指标
主要结局
Cervical length
时间窗: 24 hours
median cervical length measured by transvaginal ultrasound in centimetres.
Bishop score
时间窗: 72
median Bishop score assessed by digital vaginal examination as follows: Cervical dilatation in centimeters will be given a score of zero if closed, a score of 1 if 1-2 cm dilated, a score of 2 if 3-4 cm dilated and a score of 3 if 5 cm or more dilatation. Effacement of the cervix will be given a score of zero if 0-30%, a score of 1 if 40-50%, a score of 2 if 60-70% and a score of 3 if 80% or more. Station of fetal head will be given a score of zero if -3, a score of 1 if -2, a score of 2 if -1 to zero and a score of 3 if 1 or more. Consistency of the cervix will be given a score of zero if firm, a score of 1 if medium and a score of 2 if soft. Position of the cervix will be given a score of zero if posterior, a score of 1 if mid position and a score of 2 if anterior. So, a total score (sum of all scores) of zero at a minimum to 10 at a maximum can be estimated. Note that a score more than 10 means patient is in labor not needing induction of labor.
次要结局
未报告次要终点
研究者
Mohamed Adel Mazroa
Dr resident of obstetrics and gynecology
Ain Shams University