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EnglishObjective Analyzing if the sonographic evaluation of the cervix (cervical shortening) is a prognostic marker for vaginal delivery. Methods Women who underwent labor induction by using dinoprostone were enrolled. Before the induction and three hours after it, the cervical length was measured by ultrasonography to obtain the cervical shortening. The cervical shortening was introduced in logistic regression models among independent variables and for calculating receiver operating characteristic (ROC) curves. Results Each centimeter in the cervical shortening increases the odds of vaginal delivery in 24.4% within 6 hours; in 16.1% within 24 hours; and in 10.5% within 48 hours. The best predictions for vaginal delivery are achieved for births within 6 and 24 hours, while the cervical shortening poorly predicts vaginal delivery within 48 hours. Conclusion The greater the cervical shortening 3 hours after labor induction, the higher the likelihood of vaginal delivery within 6, 24 and 48 hours.
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| Data di pubblicazione: | 2016 | |
| Titolo: | Sonographic Cervical Shortening after Labor Induction is a Predictor of Vaginal Delivery. | |
| Autori: | Indraccolo, Ugo; Scutiero, Gennaro; Greco, Pantaleo | |
| Rivista: | REVISTA BRASILEIRA DE GINECOLOGIA E OBSTETRICIA | |
| Parole Chiave: | Cervical shortening; Delivery outcome; Labor induction; Transvaginal ultrasonography; Obstetrics and Gynecology | |
| Abstract in inglese: | Objective Analyzing if the sonographic evaluation of the cervix (cervical shortening) is a prognostic marker for vaginal delivery. Methods Women who underwent labor induction by using dinoprostone were enrolled. Before the induction and three hours after it, the cervical length was measured by ultrasonography to obtain the cervical shortening. The cervical shortening was introduced in logistic regression models among independent variables and for calculating receiver operating characteristic (ROC) curves. Results Each centimeter in the cervical shortening increases the odds of vaginal delivery in 24.4% within 6 hours; in 16.1% within 24 hours; and in 10.5% within 48 hours. The best predictions for vaginal delivery are achieved for births within 6 and 24 hours, while the cervical shortening poorly predicts vaginal delivery within 48 hours. Conclusion The greater the cervical shortening 3 hours after labor induction, the higher the likelihood of vaginal delivery within 6, 24 and 48 hours. | |
| Digital Object Identifier (DOI): | 10.1055/s-0036-1597629 | |
| Handle: | http://hdl.handle.net/11392/2372068 | |
| Appare nelle tipologie: | 03.1 Articolo su rivista |
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