Ultrasound assessment of foetal head-perineum distance prior to induction of labour as a predictor of successful vaginal delivery: a prospective study from a tertiary care hospital of Rajasthan

Background: Induction of labor (IOL) is one the most frequent obstetric procedures require for various obstetrics indications in 13-20% term. Traditionally success induction has been determined by Bishop score, but this score observer based and significant inter disagreements have noted. Ultrasound can help obstetricians counselling patients before labour explain probability successful induction. So study we did ultrasound assessment foetal head-perineum distance prior to as a predictor vaginal delivery. Methods: All eligible women who are planned will undergo head–perineum labour. Transvaginal also be performed using probe measure cervical length. After scans, prevaginal examination assess components modified (min 0, max 10). If cervix found unfavourable, done. patient not go into active labour, then considered unsuccessful) or else oxytocin drip cases where favourable. The followed up till Results: Out 125 enrolled study, 101 delivered successfully vaginally 24 had caesarean Of these delivery, 11 were excluded operative procedure was indication related unsuccessful such occurrence distress thick meconium-stained liquor with unfavourable cervix. final analysis from 114 subjects (101 births 13 births). Conclusions: Transperineal fetal less painful time consuming acceptable compare measurement length digital bishop score.