Ultrasound cervical length measurement in prediction of labor induction outcome

M. Kehila*, H.S. Abouda, K. Sahbi, H. Cheour, M. Badis Chanoufi | JNPM 2016;

Induction of labor is one of the most common procedures in modern obstetrics, with an incidence of approximately 20% of all deliveries. Not all of these inductions result in vaginal delivery; some lead to cesarean sections, either for emergency reasons or for failed induction. That’s why, It seems necessary to outline strategies for the improvement of the success rate of induced deliveries. Traditionally, the identification of women in whom labor induction is more likely to be successful is based on the Bishop score. However, several studies have shown it to be subjective, with high variation and a poor predictor of the outcome of labor induction. Transvaginal sonography for cervical measurement can be a more objective criterion in assessing the success of labor induction. Many studies have been done recently to compare cervical measurement and Bishop Score in labor induction. This paper reviewed the literature that evaluated sonographic cervical length measurement to predict induction of labor outcome.

*Corresponding Author: 

Dr. Mehdi Kehila, C Department, Tunis Maternity and Neonatology Center, Tunis El Manar University, Tunis 1029, Tunisia. Tel.: +216 98 800 200; E-mail:mehdikehila@hotmail.fr.