Transvaginal ultrasound measurement of cervical length versus bishop scoring in assessment of success of induction of labour in postterm pregnancy /

Yasmine Fekry Abdelazeem

Transvaginal ultrasound measurement of cervical length versus bishop scoring in assessment of success of induction of labour in postterm pregnancy / مقارنة ما بين استعمال الموجات فوق الصوتية المهبلية في قياس عنق الرحم ومعامل بيشوب في تحديد نجاح تحريض الولادة في حالات تجاوز فترة الحمل Yasmine Fekry Abdelazeem ; Supervised Reda Ismail Riad , Omnia Mostafa Hilal , Hassan Mostafa Gaafar - Cairo : Yasmine Fekry Abdelazeem , 2015 - 113 P. : charts , facsimiles ; 25cm

Thesis (M.Sc.) - Cairo University - Faculty of Medicine- Department of Gynecology and Obstetrics

The process of connective tissue remodeling in the cervix during pregnancy occurs in four stages: softening, ripening, dilation, and repair. Although overlapping in time, each stage is uniquely regulated. Preinduction cervical assessment is based on the digital examination of the cervix and evaluation of several variants, originally proposed by Bishop and measurement of cervical length by TVU which is non invasive and cheap method. The advantage of the Bishop score is that it can evaluate parameters such as consistency or station that may influence the outcome. A low Bishop score prior to labour induction has been associated with failure of induction, prolonged labour and a high rate of cesarean delivery. Also the Bishop score does not require any special equipment; however its evaluation remains a matter of controversy depending on the differences in the clinical senses of examinations. In conclusion cervical score (Bishop score) and the cervical length by T.V.S had almost the same sensitivity (62% vs 62.7%) and the cervical length by T.V.S is more specific than cervical score (Bishop score)



Induction of labour Methods of assessment of the cervix The cervix
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