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Pre-induction cervical assessment using transvaginal ultrasound versus Bishops cervical scoring as predictors of successful induction of labour in term pregnancies: A hospital-based comparative clinical trial

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  • Zainab Hananah Abang Abdullah
  • Kah Teik Chew
  • V Ramesh V Velayudham
  • Zainab Yahaya
  • Amilia Afzan Mohd Jamil
  • Muhammad Azrai Abu
  • Nur Azurah Abdul Ghani
  • Nor Azlin Mohamed Ismail

Abstract

Objective: To evaluate the association between transvaginal ultrasound scan of cervix and Bishop’s score in predicting successful induction of labour, cut-off points and patients’ tolerability and acceptance for both procedures. Design: A comparative clinical trial. Setting: A tertiary hospital in Selangor, Malaysia. Participants: 294 women planned for elective induction of labour for various indications were included. All women had transvaginal ultrasound to assess the cervical length and digital vaginal examination to assess the Bishop cervical scoring by separate investigators before induction of labour. Primary outcome measure: To evaluate the association of the cervical length by transvaginal ultrasound scan and Bishop score in predicting successful induction of labour. Secondary outcome measure: Variables associated with successful induction of labour and patients’ tolerability and acceptance for transvaginal ultrasound scan of cervix. Results: There was no statistically significant difference among the vaginal and Caesarean delivery groups in terms of mean maternal age, height, weight, body mass index, ethnicity and gestational age at induction. Vaginal delivery occurred in 207 women (70.4%) and 87 women (29.6%) delivered via Caesarean section. There was a high degree of correlation between the cervical length and Bishop score (r-value 0.745; p

Suggested Citation

  • Zainab Hananah Abang Abdullah & Kah Teik Chew & V Ramesh V Velayudham & Zainab Yahaya & Amilia Afzan Mohd Jamil & Muhammad Azrai Abu & Nur Azurah Abdul Ghani & Nor Azlin Mohamed Ismail, 2022. "Pre-induction cervical assessment using transvaginal ultrasound versus Bishops cervical scoring as predictors of successful induction of labour in term pregnancies: A hospital-based comparative clinic," PLOS ONE, Public Library of Science, vol. 17(1), pages 1-14, January.
    • Handle: RePEc:plo:pone00:0262387
    DOI: 10.1371/journal.pone.0262387
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    References listed on IDEAS

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    1. Gizem Güneş & Zekiye Karaçam, 2017. "The feeling of discomfort during vaginal examination, history of abuse and sexual abuse and post‐traumatic stress disorder in women," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(15-16), pages 2362-2371, August.
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