Transabdominal ultrasound examination can determine the fetal head position before the start of labour, but the position of the head did not predict the course of labour, probably because the fetal head may rotate during labour even after PROM.
Digital assessment of fetal head descent, cervical length and position can possibly be replaced with ultrasound measurements. Dilatation is best evaluated with digital assessment. Combination of these four factors can predict success of labor induction.
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