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Prediction successful prostaglandin ( pge2 ) induction of labour in primiparous term pregnancy by measuring cervical length using transvaginal ultrasound

Purpose of this study is to determine the correlation between the cervical length measured by transvaginal ultrasound with successful vaginal delivery following prostaglandin E2 induction in primiparous term pregnancy This is prospective observational study to determine the correlation between the c...

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Main Author:	Azhari, Syahrul Azwan
Format:	Thesis
Language:	English
Published:	2020
Subjects:	R735-854 Medical education. Medical schools. Research RG Gynecology and obstetrics
Online Access:	http://eprints.usm.my/56933/1/Syahrul%20Azwan%20-%20e%2024.pdf http://eprints.usm.my/56933/
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id	my.usm.eprints.56933
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spelling	my.usm.eprints.56933 http://eprints.usm.my/56933/ Prediction successful prostaglandin ( pge2 ) induction of labour in primiparous term pregnancy by measuring cervical length using transvaginal ultrasound Azhari, Syahrul Azwan R735-854 Medical education. Medical schools. Research RG Gynecology and obstetrics Purpose of this study is to determine the correlation between the cervical length measured by transvaginal ultrasound with successful vaginal delivery following prostaglandin E2 induction in primiparous term pregnancy This is prospective observational study to determine the correlation between the cervical length measured by transvaginal ultrasound and successful prostaglandin induction of labour in primiparous term pregnancy. Transvaginal ultrasound used to determine cervical length and digital examination of the cervix is performed to determine the bishop score. If bishop score < 5, prostaglandin ( PGE2 ) will be inserted, and will reassessed after 6 hours. If bishop score remain unfavourable, then prostaglandin will be inserted ( maximum 3 times ). Data entry and analysis performed using SPSS version 12. The p value < 0.05 is consider significant Total 90 primiparous term pregnancy women were successfully recruited. 66 ( 77.3% ) of them successfully delivered vaginally, whereas 24 ( 26.7% ) of them were delivered via emergency caesarean section. Out of 24 women delivered via emergency caesarean section, 5 ( 5.6% ) of them were due to acute fetal distress. By using multivariate analysis, only cervical length was statistically significant ( AOR: 34.4, 95% CI = 5.6 – 211.9 ) in predicting successful prostaglandin E2 induction. Using receiver operating characteristic ( ROC ) curve, the cut off value of the cervical length that associated with successful prostaglandin E2 induction in primiparous term pregnancy was 3.1cm with sensitivity 83.6% and specificity 70.6%. Beside that, induction of labor using prostaglandin in primiparous term pregnancy did not cause negative impact to the newborn. Cervical length measured by transvaginal ultrasound prior induction of labour using prostaglandin E2 among primiparous term pregnancy able to predict successful induction process. Induction of labour using prostaglandin E2 did not cause harm to the newborn. 2020 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/56933/1/Syahrul%20Azwan%20-%20e%2024.pdf Azhari, Syahrul Azwan (2020) Prediction successful prostaglandin ( pge2 ) induction of labour in primiparous term pregnancy by measuring cervical length using transvaginal ultrasound. Masters thesis, Universiti Sains Malaysia.
institution	Universiti Sains Malaysia
building	Hamzah Sendut Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Sains Malaysia
content_source	USM Institutional Repository
url_provider	http://eprints.usm.my/
language	English
topic	R735-854 Medical education. Medical schools. Research RG Gynecology and obstetrics
spellingShingle	R735-854 Medical education. Medical schools. Research RG Gynecology and obstetrics Azhari, Syahrul Azwan Prediction successful prostaglandin ( pge2 ) induction of labour in primiparous term pregnancy by measuring cervical length using transvaginal ultrasound
description	Purpose of this study is to determine the correlation between the cervical length measured by transvaginal ultrasound with successful vaginal delivery following prostaglandin E2 induction in primiparous term pregnancy This is prospective observational study to determine the correlation between the cervical length measured by transvaginal ultrasound and successful prostaglandin induction of labour in primiparous term pregnancy. Transvaginal ultrasound used to determine cervical length and digital examination of the cervix is performed to determine the bishop score. If bishop score < 5, prostaglandin ( PGE2 ) will be inserted, and will reassessed after 6 hours. If bishop score remain unfavourable, then prostaglandin will be inserted ( maximum 3 times ). Data entry and analysis performed using SPSS version 12. The p value < 0.05 is consider significant Total 90 primiparous term pregnancy women were successfully recruited. 66 ( 77.3% ) of them successfully delivered vaginally, whereas 24 ( 26.7% ) of them were delivered via emergency caesarean section. Out of 24 women delivered via emergency caesarean section, 5 ( 5.6% ) of them were due to acute fetal distress. By using multivariate analysis, only cervical length was statistically significant ( AOR: 34.4, 95% CI = 5.6 – 211.9 ) in predicting successful prostaglandin E2 induction. Using receiver operating characteristic ( ROC ) curve, the cut off value of the cervical length that associated with successful prostaglandin E2 induction in primiparous term pregnancy was 3.1cm with sensitivity 83.6% and specificity 70.6%. Beside that, induction of labor using prostaglandin in primiparous term pregnancy did not cause negative impact to the newborn. Cervical length measured by transvaginal ultrasound prior induction of labour using prostaglandin E2 among primiparous term pregnancy able to predict successful induction process. Induction of labour using prostaglandin E2 did not cause harm to the newborn.
format	Thesis
author	Azhari, Syahrul Azwan
author_facet	Azhari, Syahrul Azwan
author_sort	Azhari, Syahrul Azwan
title	Prediction successful prostaglandin ( pge2 ) induction of labour in primiparous term pregnancy by measuring cervical length using transvaginal ultrasound
title_short	Prediction successful prostaglandin ( pge2 ) induction of labour in primiparous term pregnancy by measuring cervical length using transvaginal ultrasound
title_full	Prediction successful prostaglandin ( pge2 ) induction of labour in primiparous term pregnancy by measuring cervical length using transvaginal ultrasound
title_fullStr	Prediction successful prostaglandin ( pge2 ) induction of labour in primiparous term pregnancy by measuring cervical length using transvaginal ultrasound
title_full_unstemmed	Prediction successful prostaglandin ( pge2 ) induction of labour in primiparous term pregnancy by measuring cervical length using transvaginal ultrasound
title_sort	prediction successful prostaglandin ( pge2 ) induction of labour in primiparous term pregnancy by measuring cervical length using transvaginal ultrasound
publishDate	2020
url	http://eprints.usm.my/56933/1/Syahrul%20Azwan%20-%20e%2024.pdf http://eprints.usm.my/56933/
_version_	1758579155079790592
score	13.211869

Prediction successful prostaglandin ( pge2 ) induction of labour in primiparous term pregnancy by measuring cervical length using transvaginal ultrasound

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