{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T15:06:59Z","timestamp":1792076819301,"version":"4.4.0"},"reference-count":30,"publisher":"Public Library of Science (PLoS)","issue":"1","license":[{"start":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T00:00:00Z","timestamp":1643155200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\"><jats:title>Objective<\/jats:title><jats:p>To evaluate the association between transvaginal ultrasound scan of cervix and Bishop\u2019s score in predicting successful induction of labour, cut-off points and patients\u2019 tolerability and acceptance for both procedures.<\/jats:p><\/jats:sec><jats:sec id=\"sec002\"><jats:title>Design<\/jats:title><jats:p>A comparative clinical trial.<\/jats:p><\/jats:sec><jats:sec id=\"sec003\"><jats:title>Setting<\/jats:title><jats:p>A tertiary hospital in Selangor, Malaysia.<\/jats:p><\/jats:sec><jats:sec id=\"sec004\"><jats:title>Participants<\/jats:title><jats:p>294 women planned for elective induction of labour for various indications were included. All women had transvaginal ultrasound to assess the cervical length and digital vaginal examination to assess the Bishop cervical scoring by separate investigators before induction of labour.<\/jats:p><\/jats:sec><jats:sec id=\"sec005\"><jats:title>Primary outcome measure<\/jats:title><jats:p>To evaluate the association of the cervical length by transvaginal ultrasound scan and Bishop score in predicting successful induction of labour.<\/jats:p><\/jats:sec><jats:sec id=\"sec006\"><jats:title>Secondary outcome measure<\/jats:title><jats:p>Variables associated with successful induction of labour and patients\u2019 tolerability and acceptance for transvaginal ultrasound scan of cervix.<\/jats:p><\/jats:sec><jats:sec id=\"sec007\"><jats:title>Results<\/jats:title><jats:p>There was no statistically significant difference among the vaginal and Caesarean delivery groups in terms of mean maternal age, height, weight, body mass index, ethnicity and gestational age at induction. Vaginal delivery occurred in 207 women (70.4%) and 87 women (29.6%) delivered via Caesarean section. There was a high degree of correlation between the cervical length and Bishop score (<jats:italic>r<\/jats:italic>-value 0.745; p &lt;0.001). Sonographic assessment of cervical length demonstrated a comparable accuracy in comparison to Bishop score. Analysis using ROC curves noted an optimal cut-off value of \u226427mm for cervical length and Bishop score of \u2265 4, with a sensitivity of 69.1% vs 67%, specificity 60.9% vs 55%, and area under the curves (AUCs) of 0.672 and 0.643 respectively (<jats:italic>p<\/jats:italic>&lt;0.001). Multivariate logistic regression analysis demonstrated that parity (OR 2.70), cervical length (OR 0.925), Bishop score (OR 1.272) and presence of funnelling (OR 3.292) were highly significant as independent predictors of success labour induction. Women also expressed significantly less discomfort with transvaginal ultrasound compared with digital vaginal examination.<\/jats:p><\/jats:sec><jats:sec id=\"sec008\"><jats:title>Conclusion<\/jats:title><jats:p>Sonographic assessment of cervical measurement predicts the success of induction of labour with similar diagnostic accuracy with conventional Bishop score.<\/jats:p><\/jats:sec>","DOI":"10.1371\/journal.pone.0262387","type":"journal-article","created":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T18:28:03Z","timestamp":1643221683000},"page":"e0262387","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":27,"title":["Pre-induction cervical assessment using transvaginal ultrasound versus Bishops cervical scoring as predictors of successful induction of labour in term pregnancies: A hospital-based comparative clinical trial"],"prefix":"10.1371","volume":"17","author":[{"given":"Zainab Hananah Abang","family":"Abdullah","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6542-386X","authenticated-orcid":true,"given":"Kah Teik","family":"Chew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V. Ramesh V.","family":"Velayudham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zainab","family":"Yahaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amilia Afzan Mohd","family":"Jamil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Azrai","family":"Abu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nur Azurah Abdul","family":"Ghani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nor Azlin Mohamed","family":"Ismail","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2022,1,26]]},"reference":[{"issue":"2","key":"pone.0262387.ref001","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1097\/GRF.0000000000000021","article-title":"Epidemiologic considerations: scope of problem and disparity concerns","volume":"57","author":"D. 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