Ultrasonographic measurement of cervical length in predicting mode of delivery after oxytocin induction

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dc.contributor.authorYanik, Ali
dc.contributor.authorGueluemser, Cagri
dc.contributor.authorTosun, Mirac
dc.date.accessioned2019-07-27T12:10:23Z
dc.date.accessioned2019-07-28T10:16:23Z
dc.date.available2019-07-27T12:10:23Z
dc.date.available2019-07-28T10:16:23Z
dc.date.issued2007
dc.departmentCumhuriyet Univ, Fac Med, Dept Obstet & Gynecol, Kadin Hastaliklari Dogum Anabilim Dali, Sivas, Turkey -- Kings Coll Hosp, Harris Birthright Res Ctr Foetal Med, London, England -- Ondokuz Mayis Univ, Fac Med, Dept Obstet & Gynecol, Samsun, Turkeyen_US
dc.description.abstractThis study was conducted to explore the value of transvaginal ultrasonographic cervical length measurement, in addition to gestational age, maternal age, parity, Bishop score, and weight of the newborn, in predicting the mode of delivery in pregnancies in which labor is induced with oxytocin at or beyond the 40th gestational week. A total of 73 pregnancies at 40 to 42 weeks of gestation were included. After labor was induced, 29 women delivered vaginally and 44 underwent cesarean section. These groups were compared with respect to possible predictive parameters of delivery outcomes. Student t test, Pearson's correlation analysis, and logistic regression analysis were used for statistical evaluation. Mean preinduction cervical length was 26.8 +/- 9.9 mm in the vaginal delivery group and 34.2 +/- 8.1 mm in the cesarean section group (P <.05). Mean maternal age, parity, and Bishop score were significantly higher and mean weight of the newborn was significantly lower in the vaginal delivery group. Cervical length measurements showed a significant negative correlation with Bishop scores (r=-.584; P <.05). Logistic regression analysis revealed that Bishop score (likelihood ratio=.472; 95% confidence interval=.338-.658; P <.05) and weight of the new born (likelihood ratio=1.002; 95% confidence interval=1.00007-1.003; P <.05) were significant independent predictors of the route of delivery. According to the results of this study, maternal age, parity, Bishop score, cervical length, and weight of the newborn all might affect the mode of delivery after labor induction. Bishop score, although a subjective measure, must be considered an important component of preinduction evaluation.en_US
dc.identifier.doi10.1007/BF02849968en_US
dc.identifier.endpage756en_US
dc.identifier.issn0741-238X
dc.identifier.issn1865-8652
dc.identifier.issue4en_US
dc.identifier.pmid17901024en_US
dc.identifier.scopus2-s2.0-38449111329en_US
dc.identifier.scopusqualityQ1
dc.identifier.startpage748en_US
dc.identifier.urihttps://dx.doi.org/10.1007/BF02849968
dc.identifier.urihttps://hdl.handle.net/20.500.12418/10571
dc.identifier.volume24en_US
dc.identifier.wosWOS:000250898200007en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSPRINGERen_US
dc.relation.ispartofADVANCES IN THERAPYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectbishop scoreen_US
dc.subjectcervical lengthen_US
dc.subjectlabor inductionen_US
dc.subjectoxytocinen_US
dc.subjectterm pregnancyen_US
dc.titleUltrasonographic measurement of cervical length in predicting mode of delivery after oxytocin inductionen_US
dc.typeArticleen_US

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