USEFULNESS OF TRANSPERINEAL VIRTUAL TOUCH QUANTIFICATION IN THE CERVIX FOR PREDICTING OUTCOME OF LABOR INDUCTION
| Autor: | Cheng Zhao, Li Li, Xiumei Li, Zongli Yang, Yong‑Chun Zhang, Shibao Fang, Yong Li |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Acoustics and Ultrasonics medicine.medical_treatment Biophysics Bishop score Cervix Uteri Perineum Ultrasonography Prenatal Predictive Value of Tests Pregnancy medicine Humans Radiology Nuclear Medicine and imaging Labor Induced Cesarean delivery Cervix reproductive and urinary physiology Vaginal examination Radiological and Ultrasound Technology Obstetrics Vaginal delivery business.industry Wave velocity Treatment Outcome medicine.anatomical_structure Oxytocin Labor induction Female business medicine.drug |
| Zdroj: | Ultrasound in Medicine & Biology. 46:2207-2214 |
| ISSN: | 0301-5629 |
| DOI: | 10.1016/j.ultrasmedbio.2020.04.037 |
| Popis: | This study aimed to explore the feasibility of transperineal virtual touch tissue quantification (VTQ) for predicting the outcome of labor induction. A total of 80 nulliparous pregnant women were included. Before labor induction, cervical length was measured by B-mode sonography, cervical stiffness was measured by VTQ, and Bishop score was assessed by vaginal examination. Subsequently, labor was induced using standard oxytocin infusion in all patients. Delivery within 24 hours after labor induction was classified as spontaneous delivery; otherwise, cesarean delivery was performed. Out of 80 participants, 48 (60%) delivered vaginally and 32 (40%) underwent cesarean delivery. The cervical length was significantly longer and the shear wave velocity (SWV) was greater in the cesarean delivery group than in the vaginal delivery group (p = 0.004 and p0.000, respectively). Logistic regression analysis indicated that only the mean SWV had independent predictive value for the outcome of labor induction (p = 0.011). The best diagnostic cut-off point of the mean SWV was 1.23 m/s, with a sensitivity of 93.8% and a specificity of 89.6%. Transperineal VTQ technique could predict the outcome of labor induction using oxytocin. |
| Databáze: | OpenAIRE |
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