Home > DARE Reviews > Sonographic cervical assessment to...

PubMed Health. A service of the National Library of Medicine, National Institutes of Health.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York (UK): Centre for Reviews and Dissemination (UK); 1995-.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet].

Sonographic cervical assessment to predict the success of labor induction: a systematic review with metaanalysis

Review published: 2007.

Bibliographic details: Hatfield A S, Sanchez-Ramos L, Kaunitz A M.  Sonographic cervical assessment to predict the success of labor induction: a systematic review with metaanalysis. American Journal of Obstetrics and Gynecology 2007; 197(2): 186-192. [PubMed: 17689645]

Abstract

OBJECTIVE: The purpose of this investigation was to review the literature that evaluates sonographic cervical assessment to predict successful induction of labor.

STUDY DESIGN: Published prospective trials that measured sonographic cervical length before labor induction was initiated were evaluated. Trials were excluded if they contained data presented in later articles or did not contain extractable data. The total analysis included 20 trials with 3101 aggregate participants.

RESULTS: Cervical length predicted successful induction (likelihood ratio of positive test, 1.66; 95% confidence interval [CI], 1.20-2.31) and failed induction (likelihood ratio of negative test, 0.51; 95% CI, 0.39-0.67). Cervical length did not predict any specific outcome (eg, mode of delivery). The assessment of cervical wedging proved to be a useful diagnostic test, with a likelihood ratio of a positive test result of 2.64 and a likelihood ratio of a negative test result of 0.64.

CONCLUSION: Sonographic cervical length was not an effective predictor of successful labor induction. Further evaluation of cervical wedging in the prediction of labor induction appears warranted.

CRD has determined that this article meets the DARE scientific quality criteria for a systematic review.

Copyright © 2014 University of York.

PMID: 17689645

Download

PubMed Health Blog...

read all...

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...