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Does ultrasound examination when the cervix is unfavorable improve the prediction of failed labor induction?

Identifieur interne : 000321 ( PubMed/Checkpoint ); précédent : 000320; suivant : 000322

Does ultrasound examination when the cervix is unfavorable improve the prediction of failed labor induction?

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

Source :

RBID : pubmed:15065185

English descriptors

Abstract

To compare the Bishop score, ultrasound cervical parameters and fetal fibronectin assessment for predicting failed labor induction when the cervix is unfavorable.

DOI: 10.1002/uog.1008
PubMed: 15065185


Affiliations:


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pubmed:15065185

Le document en format XML

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<title xml:lang="en">Does ultrasound examination when the cervix is unfavorable improve the prediction of failed labor induction?</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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<name sortKey="Col, J Y" sort="Col, J Y" uniqKey="Col J" first="J Y" last="Col">J Y Col</name>
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<name sortKey="Firmin, J M" sort="Firmin, J M" uniqKey="Firmin J" first="J M" last="Firmin">J M Firmin</name>
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<name sortKey="Caron, P" sort="Caron, P" uniqKey="Caron P" first="P" last="Caron">P. Caron</name>
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<name sortKey="Marpeau, L" sort="Marpeau, L" uniqKey="Marpeau L" first="L" last="Marpeau">L. Marpeau</name>
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<title xml:lang="en">Does ultrasound examination when the cervix is unfavorable improve the prediction of failed labor induction?</title>
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<name sortKey="Caron, P" sort="Caron, P" uniqKey="Caron P" first="P" last="Caron">P. Caron</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>Adult</term>
<term>Cervix Uteri (chemistry)</term>
<term>Cervix Uteri (pathology)</term>
<term>Cervix Uteri (ultrasonography)</term>
<term>Female</term>
<term>Fibronectins (analysis)</term>
<term>Humans</term>
<term>Labor Stage, First</term>
<term>Labor, Induced</term>
<term>Predictive Value of Tests</term>
<term>Pregnancy</term>
<term>Pregnancy Complications (therapy)</term>
<term>Pregnancy Complications (ultrasonography)</term>
<term>ROC Curve</term>
<term>Sensitivity and Specificity</term>
<term>Treatment Failure</term>
<term>Ultrasonography, Prenatal (methods)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en">
<term>Fibronectins</term>
</keywords>
<keywords scheme="MESH" qualifier="chemistry" xml:lang="en">
<term>Cervix Uteri</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Ultrasonography, Prenatal</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Cervix Uteri</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Pregnancy Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="ultrasonography" xml:lang="en">
<term>Cervix Uteri</term>
<term>Pregnancy Complications</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Female</term>
<term>Humans</term>
<term>Labor Stage, First</term>
<term>Labor, Induced</term>
<term>Predictive Value of Tests</term>
<term>Pregnancy</term>
<term>ROC Curve</term>
<term>Sensitivity and Specificity</term>
<term>Treatment Failure</term>
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<div type="abstract" xml:lang="en">To compare the Bishop score, ultrasound cervical parameters and fetal fibronectin assessment for predicting failed labor induction when the cervix is unfavorable.</div>
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<DateCreated>
<Year>2004</Year>
<Month>4</Month>
<Day>5</Day>
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<DateCompleted>
<Year>2004</Year>
<Month>08</Month>
<Day>23</Day>
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<Year>2004</Year>
<Month>11</Month>
<Day>17</Day>
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<Volume>23</Volume>
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<Title>Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology</Title>
<ISOAbbreviation>Ultrasound Obstet Gynecol</ISOAbbreviation>
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<ArticleTitle>Does ultrasound examination when the cervix is unfavorable improve the prediction of failed labor induction?</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To compare the Bishop score, ultrasound cervical parameters and fetal fibronectin assessment for predicting failed labor induction when the cervix is unfavorable.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">A prospective observational study was performed in 106 consecutive pregnant women with a Bishop score < or =5 undergoing labor induction. Assessment of fetal fibronectin and ultrasound measurement of cervical length, cervical wedging and cervical lip areas were performed. The relationship between these parameters and failure of labor induction was determined.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Failure of labor induction was defined as failure to reach a cervical dilatation of > or =5 cm, and it occurred in 16 patients (15.1%). Induction failure was associated with low Bishop scores before (P = 0.004) and 6 h after the start of induction (P = 0.007), increased clinical cervical length (P = 0.02) and increased ultrasound anterior cervical lip area (P = 0.04). The logistic regression model identified the Bishop score before induction (odds ratio = 2.25; 95% CI, 1.30-3.91; P = 0.003) and the clinical cervical length (odds ratio = 3.95; 95% CI, 1.3-11.7; P = 0.01) as being independent predictors of failed induction. To predict an induction failure, the best Bishop score cut-off value was 4, with a sensitivity of 87.5%, a specificity of 45.6%, a likelihood ratio of 1.58, a positive predictive value of 22.2% and a negative predictive value of 95.4%.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Compared with the Bishop score, cervical length by ultrasound is not a better predictor for the outcome of labor induction in an unfavorable cervix. Nevertheless, the Bishop score appears to be of poor predictive value for failed induction of labor.</AbstractText>
<CopyrightInformation>Copyright 2004 ISUOG.</CopyrightInformation>
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