Cervical elastography strain ratio and strain pattern for the prediction of a successful induction of labour
| Autor: | Janina Braun, Kathrin Oelmeier, Mareike Möllers, Marlit Karen Strobel, Helen Ann Köster, Ralf Schmitz, Chiara de Santis, Maria Eveslage, Walter Klockenbusch |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Bishop score Strain (injury) Cervical strain 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Pregnancy Ophthalmology medicine Humans Labor Induced Prospective Studies Cervical length 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Obstetrics and Gynecology medicine.disease Cervical tissue Transvaginal ultrasound Strain pattern Cervical Length Measurement Pediatrics Perinatology and Child Health Elasticity Imaging Techniques Female Elastography business |
| Zdroj: | Journal of Perinatal Medicine. 49:195-202 |
| ISSN: | 1619-3997 0300-5577 |
| DOI: | 10.1515/jpm-2020-0189 |
| Popis: | Objectives The aim of this study was to introduce cervical strain elastography to objectively assess the cervical tissue transformation process during induction of labour (IOL) and to evaluate the potential of cervical elastography as a predictor of successful IOL. Methods A total of 41 patients with full-term pregnancies elected for an IOL were included. Vaginal ultrasound with measurement of cervical length and elastography and assessment of the Bishop Score were performed before and 3 h after IOL. The measured parameters were correlated to the outcome of IOL and the time until delivery. Results We observed an association between the strain pattern and the value of the strain ratio 3 h after IOL and a successful IOL (p=0.0343 and p=0.0342, respectively) which can be well demonstrated by the results after 48 h. In our study population the cervical length and the Bishop Score did not prove to be relevant parameters for the prediction of a successful IOL. Conclusions We demonstrated for the first time that the cervical elastography pattern after the first prostaglandine application can help predict the outcome of IOL. |
| Databáze: | OpenAIRE |
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