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PREDICTION OF SUCCESSFUL LABOUR INDUCTION USING DIGITAL VAGINAL EXAMINATION AND TRANSVAGINAL SONOGRAPHY OF THE CERVIX AMONG PREGNANT WOMEN AT THE OBAFEMI AWOLOWO UNIVERSITY TEACHING HOSPITALS COMPLEX, ILE-IFE

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Supervisor: Professor E.O Orji, Professor A.B Adeyemi Dr B.O Ibitoye
Faculty: OBSTETRICS AND GYNAECOLOGY
Month: 05
Year: 2021

Abstract

BACKGROUND: Induction of labour is increasingly being carried out in obstetrics units for varying indications and it is performed when it is considered that there are benefits to the baby and/or mother if the baby is delivered. Its success depends on the ripeness of the cervix to go into the labour state. Currently, there is no strong evidence to suggest the most dependable method of assessing preinduction cervical ripening. AIM: This study was aimed to predict the success of induction of labour using digital vaginal examination and the transvaginal ultrasound measurement of the cervical length. OBJECTIVES: To compare the prevalence of successful vaginal delivery within 24 hours between term pregnant women with a pre-induction Bishop score of ≥6 and those with transvaginal ultrasound cervical length of ≤3cm. To determine relationship between pre-induction Bishop score, transvaginal ultrasound cervical length and successful vaginal delivery within 24 hours. METHODOLOGY: A cross sectional analytical study was carried out at the Department of Obstetrics and Gynaecology, OAUTHC, Ile-Ife. All eligible consenting singleton pregnant women with valid indications for induction of labour at term were recruited for the study until the sample size was complete. The study group included 95 consecutive eligible women with transvaginal scan cervical length of ≤3cm; and a control group of equal number of women with Bishops score of ≥6 matched for gestational age, indication for induction of labour and parity.

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