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Completed

NCT Number: NCT04325256

Accuracy of Different Scoring Systems for Predicting Successful Induction of Labor

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

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Key information

Conditions

Induction of Labor Affected Fetus / Newborn

Sex eligibility

Female

Study type

Observational

Primary location

Ahmed Abbas

Assiut, Cairo Governorate, 002, Egypt

Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Singleton pregnancy.
  • Pregnant ≥ 37 weeks gestation.
  • Fetus with longitudinal lie and vertex presentation.
  • Intact membranes.
  • No vaginal bleeding.

Exclusion criteria

  • Patients with previous cesarean delivery.
  • Previous uterine surgery.
  • Antepartum hemorrhage.
  • Cephalopelvic disproportion.
  • Category II or III non-stress test.
  • Malpresentation.
  • Intrauterine fetal death.
  • Fetal growth restriction.
  • Fetuses with major congenital malformations

Treatment and study plan

Manipal ultrasound scoring system

Procedure

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

Procedure

maternal height, parity, body-mass index (BMI) at delivery and the results of modified Bishop's score in calculation of probability of CS

Primary outcomes

  1. The rate of successful induction of labor

    Time frame: 24 hours

    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

Sponsors and collaborators

Lead sponsor

Assiut University

Other

Registry information

Official study title

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

Important dates

Study start
2020
Primary completion
2022
Study completion
2022
First posted
Mar 27, 2020
Registry last updated
Aug 25, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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