Clinical and ultrasonographic parameters in assessment of labor induction success in nulliparous women.

Authors:
Milan Terzic
Milan Terzic
University of Belgrade
Jelena Dotlic
Jelena Dotlic
Serbia; and 4Case Western Reserve University
United States

J Matern Fetal Neonatal Med 2019 Apr 21:1-8. Epub 2019 Apr 21.

a Clinic of Obstetrics and Gynecology , Clinical Center of Serbia , Belgrade , Serbia.

Purpose: Evaluation of simplified Bishop score and ultrasound cervicometry in the assessment of labor induction success in nulliparous women.

Methods: Prospective cohort study included 146 nulliparous women with singleton pregnancy and indications for labor induction. Prior to labor induction, cervicometry and Bishop score were determined. Upon delivery, patients were classified as those delivered vaginally and by cesarean section (CS) after unsuccessful labor induction.

Results: Bishop score >5 was found in 47.95% of vaginally delivered women and 12.33% of patients delivered by CS (p < .01). Cervicometry had appropriate findings in 34.2% of vaginally delivered women and 75.3% of those delivered by CS (p < .01). Bishop score (>5 versus ≤5) had lower sensitivity (52.05%) and specificity (12.33%) than cervicometry (good versus unfavorable findings) (sensitivity 65.75%, specificity 75.34%) for prediction of labor induction success. If Bishop score was ≤5, cervicometry had 50.0% sensitivity and 78.13% specificity, while if Bishop score was >5, 82.86% sensitivity and 55.56% specificity. Obtained model for predicting labor induction outcome in nulliparous women based on their clinical and ultrasonographical characteristics identified the Bishop score as the most important predictor.

Conclusions: Study confirmed the usefulness of simplified Bishop score and ultrasound cervicometry in the assessment of labor induction success in nulliparous women.

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/14767058.2019.1
Publisher Site
http://dx.doi.org/10.1080/14767058.2019.1594185DOI Listing
April 2019
4 Reads

Publication Analysis

Top Keywords

labor induction
24
bishop score
20
nulliparous women
16
success nulliparous
12
assessment labor
12
induction success
12
score ultrasound
8
simplified bishop
8
ultrasound cervicometry
8
cervicometry assessment
8
labor
7
induction
6
women
5
nulliparous
5
score
5
bishop
5
patients delivered
4
delivered p 5
4
women 1233%
4
delivered women
4

References

(Supplied by CrossRef)
Article in J Matern Fetal Neonatal Med
Lassiter JR et al.
J Matern Fetal Neonatal Med 2016

Similar Publications