Accuracy of Different Scoring Systems for Predicting Successful Induction of Labor

Induction of Labor Affected Fetus / Newborn Clinical Trial

Official title:

Accuracy of Different Scoring Systems for Predicting Successful Induction of Labor: a Cross-sectional Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04325256
• Other study ID #: IOLSC
• Status: Completed
• Start date: December 1, 2020
• Est. completion date: July 15, 2022

Study information

• Verified date: August 2022
• Source: Assiut University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Induction of labour (IOL) nowadays is a common procedure in obstetric practice. Presently, IOL is done for 20% of pregnancies for various maternal and fetal indications and nearly 20% of labour inductions end up in caesarean deliveries. The success of IOL mainly depends upon "favourability" of the cervix which is usually assessed by manual examination and Scored as Bishop Score. However, this method is limited by subjectivity and reproducibility and though done in all the patients prior to IOL, several studies have demonstrated poor correlation between Bishop Score and outcome of IOL

Recruitment information / eligibility

• Status: Completed
• Enrollment: 400
• Est. completion date: July 15, 2022
• Est. primary completion date: May 31, 2022
• Gender: Female
• Age group: N/A and older

Eligibility

Inclusion Criteria:

1. Singleton pregnancy.

2. Pregnant = 37 weeks gestation.

3. Fetus with longitudinal lie and vertex presentation.

4. Intact membranes.

5. No vaginal bleeding.

Exclusion Criteria:

1. Patients with previous cesarean delivery.

2. Previous uterine surgery.

3. Antepartum hemorrhage.

4. Cephalopelvic disproportion.

5. Category II or III non-stress test.

6. Malpresentation.

7. Intrauterine fetal death.

8. Fetal growth restriction.

9. Fetuses with major congenital malformations

Related Conditions & MeSH terms

• Induction of Labor Affected Fetus / Newborn

Intervention

Procedure:
• Manipal ultrasound scoring system
length of the cervix from the internal to external os, presence or absence of funneling and if present width and length of funneling at internal os were measured. Distance between presenting part to external os will be measured and position of the cervix i.e. whether curved or straight will also noted.
• Levine scoring system
maternal height, parity, body-mass index (BMI) at delivery and the results of modified Bishop's score in calculation of probability of CS

Locations

Country	Name	City	State
Egypt	Ahmed Abbas	Assiut	Cairo

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The rate of successful induction of labor	an ability to achieve the active phase of labor corresponding to a cervical dilatation of =4 cm within 12 h of initiating oxytocin on the first day of induction	24 hours