title: Comparison of elastosonography and digital examination of cervix for consistency to predict successful vaginal delivery after induction of labor with oxytocin.
abstract: OBJECTIVE
  To compare elastosonography and digital examination of cervix for consistency in the prediction of successful vaginal delivery.
  
  
  METHODS
  A total of 64 pregnant women with the indication of induction of labor (IOL) were enrolled to the study. The uterine cervix is evaluated before and after the IOL with elastosonography and digital examination for consistency and sonography for length. Methods were compared in regard to the prediction of successful vaginal delivery.
  
  
  RESULTS
  The median of gestational age was 41.00 (IQR = 2.32). Out of 64 participants, 40 (62.5%) had vaginal delivery and 24 (37.5%) had cesarean delivery. The preinduction and postinduction elastosonographic indices were insignificant in delivery groups. The preinduction and postinduction evaluations of cervical consistency with digital examination were significant within vaginal delivery group (p = 0.046), whereas it was insignificant within cesarean delivery group and between the delivery groups. The preinduction and postinduction Bishop scores were significant within vaginal delivery group (p = 0.005), whereas it was insignificant within cesarean delivery group and between the delivery groups. Postinduction Bishop score was significant between the delivery groups.
  
  
  CONCLUSIONS
  Evaluation of cervix for consistency with either elastosonography or digital examination was found to be insignificant in prediction of successful vaginal delivery after IOL with oxytocin.
authors.affiliation: a Department of Radiology , Gazi University School of Medicine , Ankara , Turkey.
authors.forename: Serap
authors.initials: S
authors.lastname: Gultekin
authors.affiliation: b Department of Obstetrics and Gynecology , Dr. Sami Ulus Women's Health Training and Research Hospital , Ankara , Turkey.
authors.forename: Ismail Burak
authors.initials: IB
authors.lastname: Gultekin
authors.affiliation: b Department of Obstetrics and Gynecology , Dr. Sami Ulus Women's Health Training and Research Hospital , Ankara , Turkey.
authors.forename: Bilal
authors.initials: B
authors.lastname: Icer
authors.affiliation: b Department of Obstetrics and Gynecology , Dr. Sami Ulus Women's Health Training and Research Hospital , Ankara , Turkey.
authors.forename: Elif
authors.initials: E
authors.lastname: Yilmaz
authors.affiliation: c Department of Biostatistics , School of Medicine, Yildirim Beyazit University , Ankara , Turkey.
authors.forename: Afra
authors.initials: A
authors.lastname: Alkan
authors.affiliation: b Department of Obstetrics and Gynecology , Dr. Sami Ulus Women's Health Training and Research Hospital , Ankara , Turkey.
authors.forename: Tuncay
authors.initials: T
authors.lastname: Kucukozkan
mesh_terms: D000293:Adolescent; D000328:Adult; D020070:Cervical Ripening / Q000187:drug effects / Q000502:physiology; D002584:Cervix Uteri / Q000033:anatomy & histology* / Q000000981:diagnostic imaging* / Q000187:drug effects; D036861:Delivery, Obstetric / Q000379:methods; D054459:Elasticity Imaging Techniques / Q000379:methods*; D005260:Female; D005385:Fingers; D006801:Humans; D007751:Labor, Induced / Q000379:methods*; D010121:Oxytocin / Q000627:therapeutic use*; D010173:Palpation; D010808:Physical Examination / Q000379:methods*; D011237:Predictive Value of Tests; D011247:Pregnancy; D016216:Ultrasonography, Prenatal; D055815:Young Adult
chemical_list: D010121:Oxytocin
keywords: Cervical consistency; digital examination; elastosonography; induction of labor; oxytocin