The usefulness of ultrasound before induction of labor

Kamel, Rasha; Garcia, Francisca S. Molina; Poon, Liona C.; Youssef, A.

doi:10.1016/j.ajogmf.2021.100423

Cited by 9 publications

(5 citation statements)

References 95 publications

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“…In this study, the created model had greater sensitivity and specificity of effective IOL prediction compared with the BS (sensitivity 77% vs. 65%, specificity 93% vs. 86%) [ 8 ]. Several other models that were based on ultrasound parameters, such as estimated fetal weight, cervical length, PCA, AoP, head-to-perineum distance, and fetal occiput position, have been described in the literature with varying reported results [ 9 , 35 ].…”

Section: Discussionmentioning

confidence: 99%

“…Other elements used concerned the presenting part of the fetus (angle of progression (AoP), posterior cervical angle (PCA), head-to-peritoneum distance (HPD), head–symphysis distance (HSD), and position of the occiput of the fetus) and its estimated weight. The study also evaluated the anatomical parameters of the pelvis [ 8 , 9 ]. The usefulness of the abovementioned parameters alone and in complex predictive models was investigated.…”

Section: Introductionmentioning

confidence: 99%

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Repeatability and Reproducibility of Potential Ultrasonographic Bishop Score Parameters

Młodawski

Mlodawska

Płusajska

et al. 2023

JCM

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Determination of the Bishop score (BS) is a traditional method of assessing the cervix in obstetrics and gynecology. This examination is characterized by subjectivity of assessment and low repeatability. In scientific studies intended to evaluate the results of the procedure based on the initial assessment, it is necessary to find an objective scale based on ultrasonography. We selected five ultrasound parameters, measured with a transvaginal transducer, that are equivalent to the individual BS axes (dilatation assessed in three-dimensional ultrasound (DL), angle of progression (AoP), vagino-cervical angle (VCA), strain elastography using the E-Cervix module, and cervical length (CL)). All selected parameters were characterized by good to excellent repeatability (intraclass correlation coefficient (ICC) = 0.878–0.994) and reproducibility (ICC = 0.826–0.996). Each of the selected parameters significantly correlated with its corresponding BS axis. The highest value of the correlation coefficient was achieved with CL (−0.75) and DL (0.71). Other parameters were characterized by an average to high correlation (AoP and station = 0.69, hardness ratio and consistency = −0.33, position and VCA = −0.38). The best correlation with the sum of the BS points was exhibited by AoP (0.52) and CL (−0.61). The selected ultrasound parameters analogous to the BS axes were characterized by high repeatability and significant correlation with the axes of the original clinical BS. Further research into the predictive properties of a multivariate model based on these parameters is needed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Repeatability and Reproducibility of Potential Ultrasonographic Bishop Score Parameters

Młodawski

Mlodawska

Płusajska

et al. 2023

JCM

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“…Наиболее часто для определения этих понятий используют частоту влагалищных родов, спонтанных влагалищных родов, родоразрешения в первые 24 ч от начала мероприятий [4,[25][26][27][28][29]. Частота неуспеха преиндукции (отсутствие созревания шейки матки) составила по нашим данным 2,47%, в то же время в нашем исследовании не было ни одного наблюдения отсутствия эффекта от родовозбуждения окситоцином после достижения «зрелости» шейки матки.…”

Section: прегравидарная подготовка и беременностьunclassified

Experience of dinoprostone vaginal insert using for cervical ripening and induction of labor

Babich,

Baev,

Piven

et al. 2024

Medicinskij sovet

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Introduction. Presently, preinduction and induction of labour is one of the approaches to improve maternal and perinatal outcomes. In this regard, the rate of labour induction is steadily increasing.Aim. To determine the efficacy and safety of dinoprostone vaginal insert for cervical ripening and labor induction.Materials and methods. The study included 81 women with a singleton pregnancy of 37 weeks. and more, cephalic presentation of the fetus, with the birth canal not ready and the presence of indications for induction of labor. Dinoprostone vaginal insert was placed for 24 hours or till onset of labor. After removal of the dinoprostone vaginal insert patient was undergoing cervical assessment by digital Bishop Score immediately. If labor didn’t start spontaneously, additional cervical ripening procedures may be considered or labor induction.Result. The Bishop score increased on average by 2 points after cervical ripening with dinoprostone vaginal insert. 77.78% of patients went into labor before dinoprostone vaginal insert removing. 71.6% of the women had the vaginal birth. The cesarean section rate was 29.6%. Failed labor induction was observed in 2.47% cases. All the children were born alive. The average weight of newborns corresponded to the general population. No infectious complications or significant side effects were recorded in the study.Conclusion. The use of dinoprostone vaginal insert is an effective method for cervical ripening (increase in Bishop score by an average of 2 points, p < 0.05) and labor induction (onset of labor before removal of SVT in 78% of cases) with a good safety profile (there were no serious adverse or side effects).

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“…In addition to the risk of failed IOL, this practice could be associated with some undesired outcomes, such as longer labor stages and excessive uterine contractions, which may raise the risk of uterine rupture, postpartum hemorrhage (PPH), and birth asphyxia, as well as the need for cesarean section (C/S) and instrumental births [ 6 ]. Furthermore, IOL might lead to a substantial economic burden and inconvenience for parturients due to their restricted mobility and continuous fetal heart rate monitoring [ 7 ]. Likewise, misusing oxytocin and prostaglandins usually administered for IOL can result in adverse perinatal outcomes [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Is oral consumption of dates (Phoenix dactylifera L. fruit) in the peripartum period effective and safe integrative care to facilitate childbirth and improve perinatal outcomes: a comprehensive revised systematic review and dose-response meta-analysis

Salajegheh,

Nasiri,

Imanipour

et al. 2024

BMC Pregnancy Childbirth

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Background Recent reviews have reported inconclusive results regarding the usefulness of consuming dates (Phoenix dactylifera L. fruit) in the peripartum period. Hence, this updated systematic review with meta-analysis sought to investigate the efficacy and safety of this integrated intervention in facilitating childbirth and improving perinatal outcomes. Methods Eight data sources were searched comprehensively from their inception until April 30, 2023. Parallel-group randomized and non-randomized controlled trials published in any language were included if conducted during peripartum (i.e., third trimester of pregnancy, late pregnancy, labor, or postpartum) to assess standard care plus oral consumption of dates versus standard care alone or combined with other alternative interventions. The Cochrane Collaboration’s Risk of Bias (RoB) assessment tools and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) were employed to evaluate the potential RoB and the overall quality of the evidence, respectively. Sufficient data were pooled by a random-effect approach utilizing Stata software. Results Of 2,460 records in the initial search, 48 studies reported in 55 publications were included. Data were insufficient for meta-analysis regarding fetal, neonatal, or infant outcomes; nonetheless, most outcomes were not substantially different between dates consumer and standard care groups. However, meta-analyses revealed that dates consumption in late pregnancy significantly shortened the length of gestation and labor, except for the second labor stage; declined the need for labor induction; accelerated spontaneity of delivery; raised cervical dilatation (CD) upon admission, Bishop score, and frequency of spontaneous vaginal delivery. The dates intake in labor also significantly reduced labor duration, except for the third labor stage, and increased CD two hours post-intervention. Moreover, the intervention during postpartum significantly boosted the breast milk quantity and reduced post-delivery hemorrhage. Likewise, dates supplementation in the third trimester of pregnancy significantly increased maternal hemoglobin levels. The overall evidence quality was also unacceptable, and RoB was high in most studies. Furthermore, the intervention’s safety was recorded only in four trials. Conclusion More well-designed investigations are required to robustly support consuming dates during peripartum as effective and safe integrated care. Trial registration PROSPERO Registration No: CRD42023399626

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The usefulness of ultrasound before induction of labor

Cited by 9 publications

References 95 publications

Repeatability and Reproducibility of Potential Ultrasonographic Bishop Score Parameters

Repeatability and Reproducibility of Potential Ultrasonographic Bishop Score Parameters

Experience of dinoprostone vaginal insert using for cervical ripening and induction of labor

Is oral consumption of dates (Phoenix dactylifera L. fruit) in the peripartum period effective and safe integrative care to facilitate childbirth and improve perinatal outcomes: a comprehensive revised systematic review and dose-response meta-analysis

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