Labor, Induced Clinical Trial
Official title:
Elastography for Evaluating Cervical Maturity in Preparation for Labor Induction at 37 to 42 Weeks of Gestation
The primary objective of this study is to determine if a cervical hardness score (determined by cervical ultrasound with elastography) can predict delivery mode (vaginal versus cesarian for slow dilatation (more than 2-3h without fetal suffering) regardless of the induction mode (ocytocin alone or with an intravaginal device releasing PGE2).
The secondary objectives of this study are:
A. To determine composite criteria (combining elastographic, parity and Bishop score
information) that predict delivery mode.
B. To determine the prognostic value of elastography as concerns delivery within 24 hours
among patients induced via oxytocin with an intravaginal device releasing PGE2 (Bishop score
< 6).
C. To determine the prognostic value of elastography as concerns delivery mode (vaginal
versus cesarian for slow dilatation (more than 2-3h without fetal suffering))among patients
induced via oxytocin alone.
D. To evaluate the intra- and inter-operator reproducibility of the cervical hardness score
determined via elastography.
E. To evaluate the economic impact of using the cervical hardness score from the point of
view of the French social system (French health insurance) and the hospital.
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