NCT03175406已完成不适用
Comparing the Accuracy of Manipal Cervical Scoring System and Modified Bishop Score in Predicting Successful Induction of Labor
适应症
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 105
- 主要终点
- the occurrence of active labor
研究概览
简要总结
Pre induction assessment using bishop scoring system and Manipal cervical scoring system performed on 105 pregnant females
详细描述
preinduction cervical assessment using The Burnett modification of Bishop score with
- Cervical dilatation in centimeters will be given a score of zero if dilatation less than 1cm, a score of 1 if 1-2 cm dilated, a score of 2 if more than 2 cm dilataion.
- Length of the cervix will be given a score of zero if more than 2 cm, a score of 1 if 1-2 cm, a score of 2 if less than 1 cm.
- Station of fetal head will be given a score of zero if -2 or higher , a score of 1 if -1, a score of 2 if zero or lower.
- Consistency of the cervix will be given a score of zero if firm, a score of 1 if soft and a score of 2 if soft and stretchable.
- 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.
and also preinduction cervical assessment using transvaginal ultrasound and Manipal system where:
- Length of the cervix will be given a score of zero if more than 3 cm, a score of 1 if 2-3 cm, a score of 2 if less than 2 cm.
- Length of the funnel will be given a score of zero if absent, a score of 1 if ≤ 0.5 cm, a score of 2 if more than 0.5 cm.
- width of the funnel will be given a score of zero if absent, a score of 1 if ≤ 0.5 cm, a score of 2 if more than 0.5 cm.
- cervical position and shape will be given a score of zero if curved, a score of 2 if straight
- Distance of presenting part to external os will be given a score of zero if more than 3 cm, a score of 1 if 2-3 cm, a score of 2 if less than 2 cm
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
- 20 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Singleton gestation at 37 completed weeks or greater .
- •Cephalic presentation.
- •Longitudinal lie.
- •Living fetus.
- •Intact membrane
排除标准
- •Previous cesarean delivery or rupture uterus.
- •Antepartum hemorrhage including (abruptio placenta, placenta previa or vasa previa).
- •Abnormal fetal lie or presentation.
- •Pervious uterine surgery as myomectomy.
- •Category II, III non stress test.
- •Pelvic structural deformity.
- •Intrautrine growth retardation or macrosomia (estimated fetal weight ˃ than 4kg).
- •Patients who received any pre induction ripening.
- •Active genital herpes.
- •Invasive cervical carcinoma
结局指标
主要结局
the occurrence of active labor
时间窗: within one day of labor induction
successful labor induction(IOL)
次要结局
- Successful vaginal delivery(48 hours)
- maternal and fetal complication associated with IOL(during induction ,labor, and 24 hours postpartum)
- The interval from onset of induction to active labor(24 hours)
- The need for cesarean delivery (CS)(24 hours)
研究者
Radwa Rasheedy Ali
lecturer of obstetrics and gynecology
Ain Shams University
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