Prostaglandins in the induction of labour – do we have the optimal
substance, dose, and route of administration? Literature review

Młodawski, Jakub; Mlodawska, Marta

doi:10.5114/ms.2021.107461

Cited by 1 publication

(1 citation statement)

References 14 publications

(22 reference statements)

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“…From the point of view of scientific research, an accurate assessment is more important. In the case of an unfavorable cervix, there are many methods of pre-inducing labor available on the market (e.g., prostaglandins, intracervical Foley catheter, hygroscopic dilators) that are designed to increase its favorability [ 5 , 6 , 7 ]. These methods differ in the mode and potency of action, the route of administration, and the rate of complications observed.…”

Section: Introductionmentioning

confidence: 99%

Repeatability and Reproducibility of Potential Ultrasonographic Bishop Score Parameters

Młodawski

Mlodawska

Płusajska

et al. 2023

JCM

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Determination of the Bishop score (BS) is a traditional method of assessing the cervix in obstetrics and gynecology. This examination is characterized by subjectivity of assessment and low repeatability. In scientific studies intended to evaluate the results of the procedure based on the initial assessment, it is necessary to find an objective scale based on ultrasonography. We selected five ultrasound parameters, measured with a transvaginal transducer, that are equivalent to the individual BS axes (dilatation assessed in three-dimensional ultrasound (DL), angle of progression (AoP), vagino-cervical angle (VCA), strain elastography using the E-Cervix module, and cervical length (CL)). All selected parameters were characterized by good to excellent repeatability (intraclass correlation coefficient (ICC) = 0.878–0.994) and reproducibility (ICC = 0.826–0.996). Each of the selected parameters significantly correlated with its corresponding BS axis. The highest value of the correlation coefficient was achieved with CL (−0.75) and DL (0.71). Other parameters were characterized by an average to high correlation (AoP and station = 0.69, hardness ratio and consistency = −0.33, position and VCA = −0.38). The best correlation with the sum of the BS points was exhibited by AoP (0.52) and CL (−0.61). The selected ultrasound parameters analogous to the BS axes were characterized by high repeatability and significant correlation with the axes of the original clinical BS. Further research into the predictive properties of a multivariate model based on these parameters is needed.

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Section: Introductionmentioning

confidence: 99%