Affiliation:
1. University of Health Sciences Ankara City Hospital, Gynecology and
Obstetrics Department, Ankara, Turkey
2. University of Health Sciences Ankara City Hospital, Radiology
Department, Ankara, Turkey
Abstract
Abstract
ObjectiveWe aimed to show whether elastography can be analternative,
although the Bishop score used in the follow-up of labor induction success with
oxytocin is a relative concept.
Material and methods This prospective case-control study includes 56 cases
admitted to a tertiary maternity hospital for induction between March and June
2019. Cervical elastography was applied to patients before induction. Induction
success in pregnant women who underwent induction with oxytocin was accepted to
be greater than Bishop 9. The cases were divided into two groups as successful
(n=28) and unsuccessful (n=28) induction, and their
elastosonographic findings were compared.
ResultsIn 28 cases with successful induction (Bishop >9, and
vaginal delivery occurred in 28), the mean stiffness of the cervix in
measurements from four regions was 13.6 ±3.7 kPa in the measurement of
the cervix with the elastography method before induction was started, while this
value was measured as 14.9 ± 3.1 in cases where induction was
unsuccessful (t- value: -1.321, p=0.194).
Conclusions Our study showed that pre-induction stiffness of the cervix
cannot predict the success of labor induction with oxytocin. More studies with
larger samples are needed to arrive at a decent conclusion. In addition, results
can be more assuring with the developing technique and sensitivity of
elastography.
Subject
Maternity and Midwifery,Obstetrics and Gynecology,Pediatrics, Perinatology and Child Health
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