M. Elsheikh, N., M. Sadek, A., E. Swidan, E., E. Ahmed, A. (2024). Cervical Volume Assessment to Predict the Result of Induction of Labor: a Prospective Observational Study. Benha Journal of Applied Sciences, 9(2), 7-15. doi: 10.21608/bjas.2024.268427.1323
Nada. M. Elsheikh; Ahmed. M. Sadek; Ebrahim. E. Swidan; Amira. E. Ahmed. "Cervical Volume Assessment to Predict the Result of Induction of Labor: a Prospective Observational Study". Benha Journal of Applied Sciences, 9, 2, 2024, 7-15. doi: 10.21608/bjas.2024.268427.1323
M. Elsheikh, N., M. Sadek, A., E. Swidan, E., E. Ahmed, A. (2024). 'Cervical Volume Assessment to Predict the Result of Induction of Labor: a Prospective Observational Study', Benha Journal of Applied Sciences, 9(2), pp. 7-15. doi: 10.21608/bjas.2024.268427.1323
M. Elsheikh, N., M. Sadek, A., E. Swidan, E., E. Ahmed, A. Cervical Volume Assessment to Predict the Result of Induction of Labor: a Prospective Observational Study. Benha Journal of Applied Sciences, 2024; 9(2): 7-15. doi: 10.21608/bjas.2024.268427.1323
Cervical Volume Assessment to Predict the Result of Induction of Labor: a Prospective Observational Study
Obstetrics & Gynecology Department, Faculty of medicine, Benha University
Abstract
Background: However, other researchers have questioned the Bishop score's predictive value for the outcome of labor induction due to its highly subjective nature, which is influenced by a doctor's clinical expertise. The purpose of this study was to assess the relationship between the frequency of deliveries within a day and the cervical volume as determined by ultrasonography and the Bishop score. Methods: This study involved the prospective observational correlation of 68 pregnant patients who were receiving care at Benha University Hospital. Transvaginal ultrasonography and the Bishop score were both used in the pre-induction cervical assessment. The cervix's anteroposterior diameter was measured, and the cervical volume was computed using the geometric view assumption that the cervix is a cylinder (V = πr2h). Results: The present study found that successful induction of labor correlated significantly with the Bishop score (p value 0.002), posterior cervical angle (p value <0.001), and cervical volume (p value 0.022). The mean cervical volume in patients delivered vaginally was 29.8±7.38mm, while in patients delivered by C.S., it was 23.99±6.04mm. Conclusion: Transvaginal ultrasound assessment of cervical length and volume holds promise as a reliable and patient-friendly tool for monitoring labor progression during IOL and predicting its success.