Background: The ripeness of the cervix is of critical importance to the probability of successful labour induction. Aim: To determine the relationship between successful induction of labour and Bishop score. Materials...Background: The ripeness of the cervix is of critical importance to the probability of successful labour induction. Aim: To determine the relationship between successful induction of labour and Bishop score. Materials and Methods: A retrospective study of all obstetric patients who had induction of labour between January 1st 2012 and December 31st 2015 was done in Federal Teaching Hospital Abakaliki. The information obtained from patients’ case notes was analyzed using descriptive and inferential statistics at an alpha level of 0.05 for all statistical tests. Results: During the study period, there were 9548 deliveries;2.76% (264) was by induction of labour with success rate of 75.4%. The mean age of the women was 28.4 ± 5.8 years;majority where nulliparous (45.45%). The most common indication for induction of labour was postdatism (43.94%). Success of induction of labour was most likely at Bishop score of 8 to 10 (OR = 0.79, 95% CI 0.72 - 0.84). Induction delivery interval was shortest with use of Foley catheter and misoprostol. Conclusion: Our study has shown that success of induction of labour was most likely at Bishop Score of 8 - 10. We advocate the use of Foley catheter and misoprostol for cervical ripening especially when there is need to expedite delivery.展开更多
【目的】探讨产前超声联用宫颈Bishop评分在瘢痕足月妊娠阴道试产评价中的价值。【方法】选取2019年1月至2021年1月在我院分娩的瘢痕子宫足月孕妇94例,均在我院行阴道试产,分析阴道试产成功和失败产妇的临床资料、Bishop评分等差异。【...【目的】探讨产前超声联用宫颈Bishop评分在瘢痕足月妊娠阴道试产评价中的价值。【方法】选取2019年1月至2021年1月在我院分娩的瘢痕子宫足月孕妇94例,均在我院行阴道试产,分析阴道试产成功和失败产妇的临床资料、Bishop评分等差异。【结果】94例孕妇中,阴道试产成功41例(43.62%);阴道试产成功产妇年龄、宫颈长度、宫颈宽度和胎儿体重明显低于阴道试产失败产妇(P<0.05),Bishop评分、子宫颈后角和出生后5 min Agar评分明显高于阴道试产失败产妇(P<0.05);Logistic回归分析结果显示:年龄、宫颈长度、宫颈宽度、Bishop评分是阴道试产成功的影响因素(P<0.05);Logistic回归模型预测阴道试产成功的受试者工作特征曲线下面积为0.805,灵敏性和特异性分别为80.50%和85.00%;Bishop评分与新生儿出生后5 min Apgar评分呈正相关(P<0.05)。【结论】产前超声联用宫颈Bishop评分在瘢痕足月妊娠阴道试产评价中具有较好的应用价值,同时Bishop评分与新生儿出生后5 min Apgar评分有关。展开更多
文摘Background: The ripeness of the cervix is of critical importance to the probability of successful labour induction. Aim: To determine the relationship between successful induction of labour and Bishop score. Materials and Methods: A retrospective study of all obstetric patients who had induction of labour between January 1st 2012 and December 31st 2015 was done in Federal Teaching Hospital Abakaliki. The information obtained from patients’ case notes was analyzed using descriptive and inferential statistics at an alpha level of 0.05 for all statistical tests. Results: During the study period, there were 9548 deliveries;2.76% (264) was by induction of labour with success rate of 75.4%. The mean age of the women was 28.4 ± 5.8 years;majority where nulliparous (45.45%). The most common indication for induction of labour was postdatism (43.94%). Success of induction of labour was most likely at Bishop score of 8 to 10 (OR = 0.79, 95% CI 0.72 - 0.84). Induction delivery interval was shortest with use of Foley catheter and misoprostol. Conclusion: Our study has shown that success of induction of labour was most likely at Bishop Score of 8 - 10. We advocate the use of Foley catheter and misoprostol for cervical ripening especially when there is need to expedite delivery.
文摘【目的】探讨产前超声联用宫颈Bishop评分在瘢痕足月妊娠阴道试产评价中的价值。【方法】选取2019年1月至2021年1月在我院分娩的瘢痕子宫足月孕妇94例,均在我院行阴道试产,分析阴道试产成功和失败产妇的临床资料、Bishop评分等差异。【结果】94例孕妇中,阴道试产成功41例(43.62%);阴道试产成功产妇年龄、宫颈长度、宫颈宽度和胎儿体重明显低于阴道试产失败产妇(P<0.05),Bishop评分、子宫颈后角和出生后5 min Agar评分明显高于阴道试产失败产妇(P<0.05);Logistic回归分析结果显示:年龄、宫颈长度、宫颈宽度、Bishop评分是阴道试产成功的影响因素(P<0.05);Logistic回归模型预测阴道试产成功的受试者工作特征曲线下面积为0.805,灵敏性和特异性分别为80.50%和85.00%;Bishop评分与新生儿出生后5 min Apgar评分呈正相关(P<0.05)。【结论】产前超声联用宫颈Bishop评分在瘢痕足月妊娠阴道试产评价中具有较好的应用价值,同时Bishop评分与新生儿出生后5 min Apgar评分有关。
