ROLE OF CERVICAL LENGTH ASSESSMENT BY TRANSVAGINAL SONOGRAPHY IN PREDICTING THE SUCCESS OF LABOUR INDUCTION IN NEAR TERM WOMEN
European Journal of Molecular & Clinical Medicine,
2020, Volume 7, Issue 7, Pages 2174-2181
AbstractBackground: Progressive cervical effacement, cervix dilatation and decent of the presenting part leading to vaginal delivery by iatrogenic uterine contractions of a healthy baby is known as induction of labour.
Cervical length measurement by transvaginal ultrasonography is more objective way for assessing cervical status In late pregnancy, measurement of length of the cervix could help in predicting the spontaneous onset of labour and could assist clinicians in assessing favourability for the induction of labour.
Aim: This aim to find the significance of length of cervical by transvaginal sonography in predicting the successful induction of labour in near term women.
1. To evaluate the cervical length by Transvaginal sonography. 2. To assess the progress of labour in women with different cervical length after induction by misoprostol tablets in relation to cervical length within 24 hours. 3. To assess the overall course of induction in terms of maternal and neonatal outcome.
Material and methods:
In the study, Near term women undergoing induction of labour, will be subjected to history taking, examination and required investigations. A formula is used to measure the sample size, which has the desired level of accuracy, the desired level of confidence, and the approximate proportion of the attribute in the population. Total study participants will be selected among term pregnant primigravida women admitted for delivery after screening through inclusion and exclusion criteria. Prior to the enrolment, written informed consent will be obtained from eligible participants. Selected cases will be subjected to trans-vaginal sonography for cervical length assessment and routine digital examination and then induction of labour will be done with misoprostol.
Expected Results: Women having smaller cervical length are expected to have more favourable outcome of induction in comparison to women with longer cervix near term.
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