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The role of ultrasound and fetal fibronectin in predicting the length of induced labor when the cervix is unfavorable.

Identifieur interne : 000313 ( PubMed/Checkpoint ); précédent : 000312; suivant : 000314

The role of ultrasound and fetal fibronectin in predicting the length of induced labor when the cervix is unfavorable.

Auteurs : H. Roman [France] ; E. Verspyck ; L. Vercoustre ; S. Degre ; J Y Col ; J M Firmin ; P. Caron ; L. Marpeau

Source :

RBID : pubmed:15170797

English descriptors

Abstract

To compare cervical clinical data, ultrasound parameters and fetal fibronectin assessment in the prediction of the duration of induced labor when the cervix is unfavorable.

DOI: 10.1002/uog.1076
PubMed: 15170797


Affiliations:


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pubmed:15170797

Le document en format XML

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<title xml:lang="en">The role of ultrasound and fetal fibronectin in predicting the length of induced labor when the cervix is unfavorable.</title>
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<name sortKey="Roman, H" sort="Roman, H" uniqKey="Roman H" first="H" last="Roman">H. Roman</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Gynaecology and Obstetrics, General Hospital, Le Havre, France. horace.roman@libertysurf.fr</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Gynaecology and Obstetrics, General Hospital, Le Havre</wicri:regionArea>
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<name sortKey="Verspyck, E" sort="Verspyck, E" uniqKey="Verspyck E" first="E" last="Verspyck">E. Verspyck</name>
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<name sortKey="Vercoustre, L" sort="Vercoustre, L" uniqKey="Vercoustre L" first="L" last="Vercoustre">L. Vercoustre</name>
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<name sortKey="Degre, S" sort="Degre, S" uniqKey="Degre S" first="S" last="Degre">S. Degre</name>
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<title level="j">Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology</title>
<idno type="ISSN">0960-7692</idno>
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<term>Biomarkers (blood)</term>
<term>Cervix Uteri (anatomy & histology)</term>
<term>Cervix Uteri (ultrasonography)</term>
<term>Cesarean Section</term>
<term>Female</term>
<term>Fetus (metabolism)</term>
<term>Fibronectins</term>
<term>Gestational Age</term>
<term>Glycoproteins (blood)</term>
<term>Humans</term>
<term>Labor Stage, First</term>
<term>Labor, Induced</term>
<term>Predictive Value of Tests</term>
<term>Pregnancy</term>
<term>Prospective Studies</term>
<term>Time Factors</term>
<term>Ultrasonography, Prenatal (methods)</term>
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<term>Biomarkers</term>
<term>Glycoproteins</term>
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<term>Cervix Uteri</term>
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<keywords scheme="MESH" qualifier="metabolism" xml:lang="en">
<term>Fetus</term>
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<term>Ultrasonography, Prenatal</term>
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<term>Cervix Uteri</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Cesarean Section</term>
<term>Female</term>
<term>Fibronectins</term>
<term>Gestational Age</term>
<term>Humans</term>
<term>Labor Stage, First</term>
<term>Labor, Induced</term>
<term>Predictive Value of Tests</term>
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<term>Prospective Studies</term>
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<div type="abstract" xml:lang="en">To compare cervical clinical data, ultrasound parameters and fetal fibronectin assessment in the prediction of the duration of induced labor when the cervix is unfavorable.</div>
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<Month>6</Month>
<Day>1</Day>
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<DateCompleted>
<Year>2004</Year>
<Month>10</Month>
<Day>12</Day>
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<Year>2015</Year>
<Month>11</Month>
<Day>19</Day>
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<Title>Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology</Title>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To compare cervical clinical data, ultrasound parameters and fetal fibronectin assessment in the prediction of the duration of induced labor when the cervix is unfavorable.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">This was a prospective study of 90 pregnant women with a Bishop score </AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">There was a significant correlation between duration of the latent phase and the whole of labor, and digitally assessed cervical dilatation (P = 0.003 and P < 0.001, respectively), parity (P = 0.006 and P < 0.001), the Bishop score (P = 0.019 and P = 0.003) and ultrasound-determined cervical length (P = 0.035 and P = 0.003). The length of the active phase of labor did not correlate with the cervical status. Funneling did not appear to be predictive of the duration of labor and it had a poor correlation with digital cervical dilatation. The length of the latent phase and that of the whole of labor was significantly longer when cervical dilatation was /= 27 mm (P = 0.002 and P = 0.005).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Cervical dilatation as assessed by digital examination is the best predictor of the duration of the latent phase and of that of the whole of labor. Ultrasound measurement of cervical length is not more accurate at predicting the duration of labor than are clinical data.</AbstractText>
<CopyrightInformation>Copyright 2004 ISUOG. Published by John Wiley & Sons, Ltd.</CopyrightInformation>
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