Startseite Cervical elastography strain ratio and strain pattern for the prediction of a successful induction of labour
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Cervical elastography strain ratio and strain pattern for the prediction of a successful induction of labour

  • Marlit Karen Strobel EMAIL logo , Maria Eveslage , Helen Ann Köster , Mareike Möllers , Janina Braun , Chiara de Santis , Kathrin Oelmeier , Walter Klockenbusch und Ralf Schmitz
Veröffentlicht/Copyright: 2. Oktober 2020
Journal of Perinatal Medicine
Aus der Zeitschrift Journal of Perinatal Medicine Band 49 Heft 2

Abstract

Objectives

The aim of this study was to introduce cervical strain elastography to objectively assess the cervical tissue transformation process during induction of labour (IOL) and to evaluate the potential of cervical elastography as a predictor of successful IOL.

Methods

A total of 41 patients with full-term pregnancies elected for an IOL were included. Vaginal ultrasound with measurement of cervical length and elastography and assessment of the Bishop Score were performed before and 3 h after IOL. The measured parameters were correlated to the outcome of IOL and the time until delivery.

Results

We observed an association between the strain pattern and the value of the strain ratio 3 h after IOL and a successful IOL (p=0.0343 and p=0.0342, respectively) which can be well demonstrated by the results after 48 h. In our study population the cervical length and the Bishop Score did not prove to be relevant parameters for the prediction of a successful IOL.

Conclusions

We demonstrated for the first time that the cervical elastography pattern after the first prostaglandine application can help predict the outcome of IOL.

Keywords: cervix uteri; elastography; induction of labor
Corresponding author: Marlit Karen Strobel, Department of Gynecology and Obstetrics, University Hospital Münster, Albert-Schweitzer Campus 1A, 48149Münster, Germany, Phone: +49 251 8348261, E-mail:

Acknowledgments

We thank everyone who voluntarily dedicated their time and effort.

  1. Research funding: None declared.

  2. Author contributions: Authors declare responsibility for the entire content of the manuscript. MK Strobel performed the data collection, data management, data analysis and wrote the manuscript. M Eveslage performed the data analysis and edited the manuscript. HA Köster edited the manuscript. M Möllers helped with the data collection and edited the manuscript. J Braun helped with the data collection and edited the manuscript. C de Santis helped with the data collection and edited the manuscript. K Oelmeier helped with the data collection and edited the manuscript. W Klockenbusch edited the manuscript. R Schmitz designed the conceptualization, helped with the data collection and edited the manuscript.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: The study design was approved by the Local Ethics Committee (2015-649-f-S).

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Supplementary Material

The online version of this article offers supplementary material (https://doi.org/10.1515/jpm-2020-0189).

Received: 2020-04-27
Accepted: 2020-08-27
Published Online: 2020-10-02
Published in Print: 2021-02-23

© 2020 Walter de Gruyter GmbH, Berlin/Boston

Artikel in diesem Heft

  1. Frontmatter
  2. Review
  3. Methods of detection and prevention of preterm labour and the PAMG-1 detection test: a review
  4. Corner of Academy
  5. Long term alterations of growth after antenatal steroids in preterm twin pregnancies
  6. Original Articles – Obstetrics
  7. SARS-CoV-2 in pregnancy: maternal and perinatal outcome data of 34 pregnant women hospitalised between May and October 2020
  8. Comparison of hematological parameters and perinatal outcomes between COVID-19 pregnancies and healthy pregnancy cohort
  9. The effect of mask use on maternal oxygen saturation in term pregnancies during the COVID-19 process
  10. Risk factors for pregnancy-associated venous thromboembolism in Singapore
  11. Does the length of second stage of labour or second stage caesarean section in nulliparous women increase the risk of preterm birth in subsequent pregnancies?
  12. Reference range for C1-esterase inhibitor (C1 INH) in the third trimester of pregnancy
  13. Termination of pregnancy following a Down Syndrome diagnosis: decision-making process and influential factors in a Muslim but secular country, Turkey
  14. High dose vs. low dose oxytocin for labor augmentation: a systematic review and meta-analysis of randomized controlled trials
  15. Extremely high levels of alkaline phosphatase and pregnancy outcome: case series and review of the literature
  16. Cervical elastography strain ratio and strain pattern for the prediction of a successful induction of labour
  17. Original Articles – Fetus
  18. CD34 immunostain increases sensitivity of the diagnosis of fetal vascular malperfusion in placentas from ex-utero intrapartum treatment
  19. The ability of various cerebroplacental ratio thresholds to predict adverse neonatal outcomes in term fetuses exhibiting late-onset fetal growth restriction
  20. Obstetric and pediatric growth charts for the detection of late-onset fetal growth restriction and neonatal adverse outcomes
  21. Original Articles – Neonates
  22. Bacterial stability with freezer storage of human milk
  23. Protein and genetic expression of CDKN1C and IGF2 and clinical features related to human umbilical cord length
  24. Short Communication
  25. A considerable asymptomatic proportion and thromboembolism risk of pregnant women with COVID-19 infection in Wuhan, China
https://doi.org/10.1515/jpm-2020-0189
Schlagwörter für diesen Artikel
cervix uteri; elastography; induction of labor

Artikel in diesem Heft

  1. Frontmatter
  2. Review
  3. Methods of detection and prevention of preterm labour and the PAMG-1 detection test: a review
  4. Corner of Academy
  5. Long term alterations of growth after antenatal steroids in preterm twin pregnancies
  6. Original Articles – Obstetrics
  7. SARS-CoV-2 in pregnancy: maternal and perinatal outcome data of 34 pregnant women hospitalised between May and October 2020
  8. Comparison of hematological parameters and perinatal outcomes between COVID-19 pregnancies and healthy pregnancy cohort
  9. The effect of mask use on maternal oxygen saturation in term pregnancies during the COVID-19 process
  10. Risk factors for pregnancy-associated venous thromboembolism in Singapore
  11. Does the length of second stage of labour or second stage caesarean section in nulliparous women increase the risk of preterm birth in subsequent pregnancies?
  12. Reference range for C1-esterase inhibitor (C1 INH) in the third trimester of pregnancy
  13. Termination of pregnancy following a Down Syndrome diagnosis: decision-making process and influential factors in a Muslim but secular country, Turkey
  14. High dose vs. low dose oxytocin for labor augmentation: a systematic review and meta-analysis of randomized controlled trials
  15. Extremely high levels of alkaline phosphatase and pregnancy outcome: case series and review of the literature
  16. Cervical elastography strain ratio and strain pattern for the prediction of a successful induction of labour
  17. Original Articles – Fetus
  18. CD34 immunostain increases sensitivity of the diagnosis of fetal vascular malperfusion in placentas from ex-utero intrapartum treatment
  19. The ability of various cerebroplacental ratio thresholds to predict adverse neonatal outcomes in term fetuses exhibiting late-onset fetal growth restriction
  20. Obstetric and pediatric growth charts for the detection of late-onset fetal growth restriction and neonatal adverse outcomes
  21. Original Articles – Neonates
  22. Bacterial stability with freezer storage of human milk
  23. Protein and genetic expression of CDKN1C and IGF2 and clinical features related to human umbilical cord length
  24. Short Communication
  25. A considerable asymptomatic proportion and thromboembolism risk of pregnant women with COVID-19 infection in Wuhan, China
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