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Abstract
Assessment of the cervix is important in evaluating the women undergoing induction of labor. Digital examination gives valuable informations but it is subjective and may cause infection in cases with premature rupture of the membrane (PROM). Sonographic assessment of the cervix is more objective than digital assessment and helps to guide clinical management.
Transvaginal sonography of the cervix overcomes the limitations of transabdominal sonography and is more precise and objective in evaluating pregnant women prior to labor induction.
A ploicy of labor induction at 41 weeks of gestation for uncomlpicated sigelton pregnancies reduces cesarean delivery rates without compromising perinatal outcomes (ACOG, 2003). Risk to both mother and infant increase as pregnancy progresses beyond 40 weeks of gestation (ACOG, 2004).
This study was carried out in Department of Obstetrics and Gynecology, Zagazig University Hospitals. 50 cases with prolonged pregnancy underwent induction of labor. For every woman undertaken in the study, the following was done:
Full history taking, clinical assessment, TVS to evaluate cervical length, vaginal examination to detect Bishop Score. Induction was done by 50 mcg misoprostol intravaginally every 6 hours with a maximum of 4 doses.