الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Induction of labor is a process where the uterine contractions are initiated by medical or surgical means before the spontaneous onset of labor, and the most common indications for induction of labor are prolonged pregnancy or PROM or medical disorders with pregnancy.
Considering that 18% of the patients having induction of labor need a cesarean section for delivery, the need for more objective criteria for the prediction of successful induction of labor can be better understood.
One of the most common labor ward problems is the difference of digital assessment of the cervix between members of the medical team. The mean reason behind this conflict is the subjective nature of digital examination of the cervix, especially the assessment of the cervical length.
The main purpose of cervical evaluation before induction of labor is the choice of induction agent, which may influence the duration of labor and the outcome.
Various scoring systems for cervical assessment have been introduced, in 1964; Bishop developed a standardized cervical scoring system called the Bishop’s Score. The Bishop’s score has a poor predictive value for the outcome of induction of labor due to the controversy in the assessment of the cervical condition by different examiners.
Transvaginal ultrasound allows visualization of the cervix beyond a closed external os and measures the cervical length accurately, without much inter-observers’ variation. Especially in cases of non-palpable cervix on digital examination. It may accurately reflect the cervical anatomy and it is considered a well tolerated examination than painful pelvic examination . So, this study was designed to compare the cervical length measured by TVUS with modified Bishop’s Score.
The study was held on 140 nulliparous women all were between 37-42 weeks of gestation to whom induction of labor was done ; successful vaginal delivery occurred in 123 case while the induction failed in 17 case who delivered by caesarean section.
Concluded that the cervical length measured by TVUS was a better predictor of successful induction than the modified Bishop’s score.