Srpski arhiv za celokupno lekarstvo 2013 Volume 141, Issue 11-12, Pages: 770-774
https://doi.org/10.2298/SARH1312770T
Full text ( 657 KB)
Cited by
Prediction of labor induction outcome using different clinical parameters
Tatić-Stupar Žaklina (Klinički centar Vojvodine, Klinika za ginekologiju i akušerstvo, Novi Sad)
Novakov-Mikić Aleksandra (Klinički centar Vojvodine, Klinika za ginekologiju i akušerstvo, Novi Sad)
Bogavac Mirjana (Klinički centar Vojvodine, Klinika za ginekologiju i akušerstvo, Novi Sad)
Milatović Stevan (Klinički centar Vojvodine, Klinika za ginekologiju i akušerstvo, Novi Sad)
Sekulić Slobodan (Klinički centar Vojvodine, Klinika za neurologiju, Novi Sad)
Introduction. Induction of labor is one of the most common obstetric
interventions in contemporary obstetrics. Objective. The aim of the study was
to evaluate the clinical and sonographic parameters in prediction of success
of labor induction. Methods. The prospective study included 422 women in whom
induction of labor was carried out at the Department of Obstetrics and
Gynecology of Clinical Centre of Vojvodina. The role of body mass index and
age of women, parity Bishop score, cervical length measured by transvaginal
ultrasound was evaluated in regard of the success of induction, which was
considered successful if a vaginal delivery occurred within 24 hours after
the onset of induction. Data were statistically analyzed by univariate
statistical analysis and Pearson’s χ2 test. Results. Out of 422 women,
induction of labor was successful in 356 (84.4%), and it failed in 66 (15.6%)
cases. The values of Bishop score and cervical length had positive
correlation with the success of induction. Conclusion. Bishop score and
transvaginal cervical length were both reliable predictors in determining the
success of labor induction, as well as parity and BMI. These parameters are
mostly complementary, not competitive in prediction of labor induction
success.
Keywords: induction of labour, Bishop score, cervical length measurement, Body Mass Index