الفهرس | Only 14 pages are availabe for public view |
Abstract Corresponding author: Hytham M. Elhamy Mobile: 01140361352 Background: Induction of labor should be undertaken when the benefits of delivery to either mother or fetus outweigh the risks of pregnancy continuation. Aim of the work: to assess the efficacy of fFN compared to transvaginal ultrasound of cervix in prediction of successful induction of labor for unfavorable cervix (bishop score 5 or less). Patients and Methods: A prospective study was conducted in Ain Shams University OB GYN hospital. Patients were recruited in this study from those attending to obstetric ER of Karmouz Hospital who were nullipara pregnant women. Sample size was 40 women were assessed for study eligibility and fulfill all inclusion criteria. Results: There was a significant relation between mode of delivery and bishop score, while there was no significant relation between mode of delivery and trnasvaginal ultrasound. The bishop score was significantly correlated with FFN, all the cases with bishop 3 was negative FFN. The OSS show insignificant relation with FFN. Also, there was no significant difference between negative and positive FFN regarding CX length. The sensitivity of CX in predict successful labor induction occurring within 24 hs. at cut off value 3.11 was 50.0 and the specificity was 53.2% while the accuracy was 51.1%. The Bishop score at cut off value 4.0, the sensitivity was 60.0%, and specificity was 64.5% and the accuracy was 62.0%. The sensitivity of alpha feto protein in predict successful labor induction occurring within 24hs. at cut off value 1.56 was 85.0 and the specificity was 80.0% while the accuracy was 82.6%. Conclusion: In conclusion, even though transvaginal cervical length measurement is an objective method to assess the cervix where Bishop score is inconclusive, it may not provide adequate information for the prediction of failed induction but can identify women at risk for cesarean delivery. The alpha feto protein showed a highly significant sensitivity, specificity and accuracy to predict the successful induction of labor. |