Value of Measuring Cervical Angle and Length by Ultrasound in Prediction of Successful Induction of Delivery

Induced; Birth Clinical Trial

Official title:

Diagnostic Accuracy of Posterior Cervical Angle and Cervical Length in Prediction of Successful Induction of Labor

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03113227
• Other study ID #: 5355
• Status: Completed
• Phase: N/A
• First received: April 10, 2017
• Last updated: July 13, 2017
• Start date: April 15, 2017
• Est. completion date: July 9, 2017

Study information

• Verified date: July 2017
• Source: Cairo University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Seventy ladies indicated for induction of delivery will be recruited. Two ways of assessment of their cervices will be done before actual induction of labor. First, ultrasound will be done to assess the angle and the length of the cervix. Then vaginal examination will be done to assess the characteristics of cervix. Analysis will be done to identify the best predictor of successful induction of labour.

Description:

Seventy patients indicated for induction of labor will be recruited. Two ways of assessment of their cervices will be done before actual induction of labor. First, transvaginal ultrasound will be done to assess the posterior angle and the length of the cervix. Then vaginal examination will be done to measure the Bishop score. Analysis will be done to identify the best predictor of successful induction of labour.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 70
• Est. completion date: July 9, 2017
• Est. primary completion date: July 9, 2017
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 18 Years to 37 Years

Eligibility

Inclusion Criteria:

• Singleton pregnancy

• Gestational age between 35 and 42

• Presence of an indication for induction of labour as post-term pregnancy or rupture of membranes

• The fetus is living

• Cephalic presentation

Exclusion Criteria:

• Estimated fetal weight more than 4 kilograms

• Malpresentation

• Oligohydramnios

• Polyhydramnios

• Non-reassuring non-stress test before induction of labor

• Cephalo-pelvic disproportion

• Previous operation on the cervix as cautery or cerclage

• Previous cesarean section

• Any contraindication to vaginal delivery including placenta previa

• Anomalous fetus

• Morbid obesity

Related Conditions & MeSH terms

• Induced; Birth

Intervention

Diagnostic Test:
• Transvaginal ultrasound
Transvaginal ultrasound will be made for assessment of posterior cervical angle and cervical length
• Vaginal examination
Vaginal examination will be done for assessment of Bishop score

Locations

Country	Name	City	State
Egypt	Department of Obstetrics and Gynecology, Kasr Al-Ainy hospital	Cairo	Greater Cairo

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Value of posterior cervical angle	Value of posterior cervical angle will be measured by an investigator	At around 10 minutes from admission to hospital
Secondary	Length of the cervix	Length of the cervix will be measured by an investigator	At around 10 minutes from admission to hospital
Secondary	Bishop score	Bishop score will be measured by an investigator	At around 30 minutes from admission to hospital