title: A new objective scoring system for the prediction of successful induction of labour.
abstract: A prospective study was done in 311 women undergoing induction of labour for the formulation of a new score, which will be more objective than the conventional Bishop's score. Pre-induction cervical assessment was done by the transvaginal sonographic parameters followed by the digital examination. Labour induction was successful in 79.09%. A new score was formulated using the parameters having independent association and weighting of individual components was given according to its regression coefficients. A new score with a maximum value of 13 was proposed. The best cut-off point for the new score in receiver operating characteristics curve was six with a sensitivity of 95.5% and specificity of 84.6%. The new score was found to have a better area under the curve than the conventional score.
authors.affiliation: Department of Obstetrics and Gynecology, Jawaharlal Institute of Medical Education and Research (JIPMER), Dhanvantari Nagar, Pondicherry 605006, India. keepan_r@yahoo.com
authors.forename: A
authors.initials: A
authors.lastname: Keepanasseril
authors.forename: V
authors.initials: V
authors.lastname: Suri
authors.forename: R
authors.initials: R
authors.lastname: Bagga
authors.forename: N
authors.initials: N
authors.lastname: Aggarwal
mesh_terms: D000328:Adult; D054791:Cervical Length Measurement; D020070:Cervical Ripening / Q000187:drug effects; D002584:Cervix Uteri / Q000000981:diagnostic imaging*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007751:Labor, Induced; D010173:Palpation; D011247:Pregnancy; D012680:Sensitivity and Specificity; D055815:Young Adult