Comparison of the Bishop score, body mass index and transvaginal cervical length in predicting the success of labor induction

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dc.contributor.authorUyar Y.
dc.contributor.authorErbay G.
dc.contributor.authorDemir B.C.
dc.contributor.authorBaytur Y.
dc.date.accessioned2024-07-22T08:21:40Z
dc.date.available2024-07-22T08:21:40Z
dc.date.issued2009
dc.description.abstractPurpose: To evaluate the role of ultrasonographic and various maternal and fetal parameters in predicting successful labor induction. Methods: Body mass index, cervical length, dilatation, effacement, Bishop score, parity, maternal age and birth weight were evaluated in 189 singleton pregnant women at 37-42 weeks of gestation and having induction of labor. All underwent induction of labor with oxytocin. Body mass index was calculated using the formula weight (kg)/height2 (m), cervical measurement was performed by transvaginal ultrasonography and Bishop score was determined by digital examination of cervix. Results: Logistic regression analysis indicated that the cervical length and body mass index were independent variables in determining the risk of cesarean section (OR = 1.206, P = 0.000, CI 95% = 1.117-1.303; OR = 1.223, P = 0.007, CI 95% = 1.058-1.414 respectively). In multiple linear regression analysis, the effect of cervical length and body mass index on induction delivery interval was found to be statistically significant (t = 5.738, P = 0.000; t = 2.680, P = 0.009, respectively). ROC curve showed that the best parameter in predicting the risk of cesarean section was cervical length and that cervical length and body mass index were better parameters compared to the Bishop score (the areas under the curve are 0.819, 0.701 and 0.416, respectively). Conclusions: Body mass index and transvaginal cervical length were better predictors compared to the Bishop score in determining the success of labor induction. © 2009 Springer-Verlag.
dc.identifier.DOI-ID10.1007/s00404-008-0915-x
dc.identifier.issn09320067
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/18721
dc.language.isoEnglish
dc.subjectBody Mass Index
dc.subjectCervical Ripening
dc.subjectCervix Uteri
dc.subjectFemale
dc.subjectHumans
dc.subjectLabor Stage, First
dc.subjectLabor, Induced
dc.subjectOrgan Size
dc.subjectPhysical Examination
dc.subjectPredictive Value of Tests
dc.subjectPregnancy
dc.subjectoxytocin
dc.subjectarticle
dc.subjectbirth weight
dc.subjectbishop score
dc.subjectbody mass
dc.subjectcervical length measurement
dc.subjectcesarean section
dc.subjectcontrolled study
dc.subjectfemale
dc.subjecthuman
dc.subjectlabor induction
dc.subjectmajor clinical study
dc.subjectmaternal age
dc.subjectparity
dc.subjectrisk factor
dc.subjectroc curve
dc.subjectscoring system
dc.subjectsensitivity and specificity
dc.subjecttransvaginal echography
dc.subjectuterine cervix
dc.subjectuterine cervix dilatation
dc.subjectvaginal delivery
dc.titleComparison of the Bishop score, body mass index and transvaginal cervical length in predicting the success of labor induction
dc.typeArticle

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