Background: When the benefits to mother or foetus outweigh risks of continuing pregnancy, such as post-dated preeclampsia, foetal growth restriction, induction labour is indicated. Induction performed in approximately 20% all pregnancies, and successful has been linked cervical characteristics, 'ripeness.' However, Bishop score's assessment cervix's "favorability" prior initiation very subjecti...

Uterine cervix is a part of the uterus responsible for maintaining pregnancy till term. As long as the cervix remains long and firm and its internal orifice (os) is closed, it can withstand enlargement of the uterine contents and resultant growing pressure. Mechanical properties of the cervix change during pregnancy; the cervix ripens prior to delivery, then effaces and dilates with contraction...

The mechanical status of the cervix is a key physiological element during pregnancy. By considering successful induction when active phase labor achieved, mapping properties could have predictive potential for management protocols. In this sense, we performed preliminary assessment diagnostic value using shear wave elastography before in 54 women, pregnancy outcome and Cesarean indications. Thr...

OBJECTIVES To compare transvaginal sonography for cervical length measurement and digital examination for Bishop score assessment in women undergoing labor induction at term, to assess their tolerability (in terms of pain) and ability to predict need for Cesarean delivery. METHODS A prospective study was performed on 249 women admitted for labor induction. Cervical length was measured using t...

Objectives: Determining the necessity of cesarean section (C/S) due to failure of induction of labor (IOL) is essential to avoid fetus distress. In this study, the performance of the Bishop score and trans-vaginal ultrasound measurements were compared to predict successful IOL, and the most useful cut-off points were estimated. Methods: Nulliparous women with gestation age of > 37 weeks with a ...

OBJECTIVE To evaluate the tolerability of cervical insulin-like growth factor binding protein 1 (IGFBP-1) and its value as a predictor of successful labour induction, compared with Bishop score and transvaginal ultrasound (TVUS) cervical length. DESIGN A prospective study. SETTING A tertiary hospital in Malaysia. POPULATION A cohort of 193 term nulliparous women with intact membranes. M...

results there were no significant differences between the groups in terms of the bishop’s score at the baseline (p = 0.792) and 10-12 hours after starting the intervention (p = 0.159). the bishop’s score was significantly higher in the saffron group 20 - 24 hours after the intervention was started (p = 0.029) and just after onset of active uterine contractions (p = 0.003). in the saffron group,...