Evaluation of cervical consistency and length by ultrasonography in predicting successful labor induction in first pregnancies


Kılınç M. N., Adıgüzel F. I., Destegül E.

Perinatal Journal, cilt.32, sa.1, ss.57-61, 2024 (Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 32 Sayı: 1
  • Basım Tarihi: 2024
  • Doi Numarası: 10.59215/prn.24.0321009
  • Dergi Adı: Perinatal Journal
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.57-61
  • Anahtar Kelimeler: Cervical consistency index, cervical length, labor induction, normal delivery
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objective: The aim of our study is to investigate the effectiveness of the cervical consistency index measured by ultrasonography in predicting the success of labor induction and to apply a more objective and painless method instead of the Bishop score. Methods: A total of 230 primiparous pregnant women were included in our study. Initial Bishop scores, cervical lengths, cervical consistency index measurements, and delivery type of the patients were recorded. Those who responded to induction and delivered vaginally and those who did not respond and gave birth by cesarean section were compared. p value <0.05 was considered statistically significant. Results: There was no significant cut-off value for CCI parameter (p=0.052) and CL parameter (p=0.890) in predicting successful labor induction in first pregnancies. A significant cut-off value was found for the Bishop parameter (p=0.007). A statistically significant negative and weak correlation was found between Bishop score and CL (r=-0.328; p<0.001). There was no statistically significant relationship between other parameters (p>0.05). Conclusion: Measurement of cervical length and cervical consistency index with transvaginal ultrasound in first pregnancies did not find statistically significant results in predicting the success of labor induction.