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The use of sonographic myometrial thickness measurements for the prediction of time from induction of labor to delivery

  • Maternal-Fetal Medicine
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Background

Several attempts have been made to find tools for the prediction of successful induction of labor. Sonographic myometrial thickness has not yet been investigated regarding its use as a clinical tool for the course of labor induction.

Objective

To evaluate the role of sonographic measurement of myometrial thickness in the prediction of the time interval to successful vaginal delivery after induction of labor.

Study design

A prospective study was conducted including term singleton pregnancies with a vertex presentation designated for balloon induction at 38–42 weeks gestation. Prior to induction, abdominal sonographic myometrial thickness was assessed at five locations: lower uterine segment (above and below the reflection of the urinary bladder), mid-anterior wall, fundus and posterior uterine wall. Induction of labor was then carried out with a trans-cervical Foley catheter that was substituted with intravenous oxytocin after balloon expulsion. The parameters assessed were successful induction of labor resulting in a vaginal delivery and the time interval from balloon insertion to balloon expulsion, the time interval from initiation of oxytocin administration to delivery and the total time from balloon insertion to delivery.

Results

Fifty-two women were recruited to the study. Indications for labor induction were: post-date pregnancy (48.1%), gestational diabetes mellitus (19.2%), oligohydramnios (11.5%), gestational hypertensive disorders (5.8%) and other indications (15.4%). Vaginal delivery was achieved in 46 patients (88.5%). A statistically significant correlation was found between fundal and posterior uterine wall myometrial thickness and time from induction to balloon expulsion (r = 0.36, p = 0.03; r = − 0.35, p = 0.05, respectively). This correlation remained significant in a multivariate logistic regression model controlling for confounders. A correlation between myometrial thickness and the total time from induction to delivery was not statistically significant.

Conclusion

Myometrial fundal and posterior uterine wall thickness in women undergoing labor induction with a balloon catheter was found to be correlated with the interval from balloon insertion to expulsion. Our findings support further investigations into the use of sonographic myometrial thickness as part of the assessment prior to induction of labor.

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References

  1. Batinelli L, Serafini A, Nante N, Petraglia F, Severi FM, Messina G (2017) Induction of labour: clinical predictive factors for success and failure. J Obstet Gynaecol 38:1–7

    Google Scholar 

  2. Crane JM (2006) Factors predicting labor induction success: a critical analysis. Clin Obstet Gynecol 49(3):573–584

    Article  Google Scholar 

  3. Sanchez-Ramos L (2005) Induction of labor. Obstet Gynecol Clin N Am 32(2):181–200

    Article  Google Scholar 

  4. Maitra N, Sharma D, Agarwal S (2009) Transvaginal measurement of cervical length in the prediction of successful induction of labour. J Obstet Gynaecol 29(5):388–391

    Article  CAS  Google Scholar 

  5. Ben-Harush Y, Kessous R, Weintraub AY, Aricha-Tamir B, Steiner N, Spiegel E et al (2016) The use of sonographic cervical length assessment for the prediction of time from induction to delivery. J Maternal Fetal Neonatal Med 29(14):2332–2336

    Google Scholar 

  6. Ware V, Raynor BD (2000) Transvaginal ultrasonographic cervical measurement as a predictor of successful labor induction. Am J Obstet Gynecol 182(5):1030–1032

    Article  CAS  Google Scholar 

  7. Pandis GK, Papageorghiou AT, Ramanathan VG, Thompson MO, Nicolaides KH (2001) Preinduction sonographic measurement of cervical length in the prediction of successful induction of labor. Ultrasound Obstet Gynecol 18(6):623–628

    Article  CAS  Google Scholar 

  8. Rane SM, Guirgis RR, Higgins B, Nicolaides KH (2004) The value of ultrasound in the prediction of successful induction of labor. Ultrasound Obstet Gynecol 24(5):538–549

    Article  CAS  Google Scholar 

  9. Degani S, Leibovitz Z, Shapiro I, Gonen R, Ohel G (1998) Myometrial thickness in pregnancy: longitudinal sonographic study. J Ultrasound Med 17(10):661–665

    Article  CAS  Google Scholar 

  10. Durnwald CP, Mercer BM (2008) Myometrial thickness according to uterine site, gestational age and prior cesarean delivery. J Maternal Fetal Neonatal Med 21(4):247–250

    Article  Google Scholar 

  11. Buhimschi CS, Buhimschi IA, Malinow AM, Weiner CP (2003) Myometrial thickness during human labor and immediately post partum. Am J Obstet Gynecol 188(2):553–559

    Article  Google Scholar 

  12. Buhimschi CS, Buhimschi IA, Norwitz ER, Sfakianaki AK, Hamar B, Copel JA et al (2005) Sonographic myometrial thickness predicts the latency interval of women with preterm premature rupture of the membranes and oligohydramnios. Am J Obstet Gynecol 193(3 Pt 1):762–770

    Article  Google Scholar 

  13. Atarjavdan L, Khazaeipour Z, Shahbazi F (2011) Correlation of myometrial thickness and the latency interval of women with preterm premature rupture of the membranes. Arch Gynecol Obstet 284(6):1339–1343

    Article  Google Scholar 

  14. Gupta R, Nagarsenkar A (2016) Using sonographically estimated myometrial thickness in prediction of latency interval in cases of preterm premature rupture of membranes (PPROM). J Obstet Gynaecol India 66(6):431–435

    Article  Google Scholar 

  15. Sfakianaki AK, Buhimschi IA, Pettker CM, Magloire LK, Turan OM, Hamar BD et al (2008) Ultrasonographic evaluation of myometrial thickness in twin pregnancies. Am J Obstet Gynecol 198(5):530

    Article  Google Scholar 

  16. Buhimschi CS, Buhimschi IA, Wehrum MJ, Molaskey-Jones S, Sfakianaki AK, Pettker CM et al (2011) Ultrasonographic evaluation of myometrial thickness and prediction of a successful external cephalic version. Obstet Gynecol 118(4):913–920

    Article  Google Scholar 

  17. Liao JB, Buhimschi CS, Norwitz ER (2005) Normal labor: mechanism and duration. Obstet Gynecol Clin N Am 32(2):145–164

    Article  Google Scholar 

  18. Rozenberg P, Goffinet F, Phillippe HJ, Nisand I (1996) Ultrasonographic measurement of lower uterine segment to assess risk of defects of scarred uterus. Lancet (London, England) 347(8997):281–284

    Article  CAS  Google Scholar 

  19. Bujold E, Jastrow N, Simoneau J, Brunet S, Gauthier RJ (2009) Prediction of complete uterine rupture by sonographic evaluation of the lower uterine segment. Am J Obstet Gynecol 201(3):320

    Article  Google Scholar 

  20. Fukuda M, Fukuda K, Shimizu T, Bujold E (2016) Ultrasound assessment of lower uterine segment thickness during pregnancy, labour, and the postpartum period. J Obstet Gynaecol Can 38(2):134–140

    Article  Google Scholar 

  21. Jastrow N, Chaillet N, Roberge S, Morency AM, Lacasse Y, Bujold E (2010) Sonographic lower uterine segment thickness and risk of uterine scar defect: a systematic review. J Obstet Gynaecol Can 32(4):321–327

    Article  Google Scholar 

  22. Kok N, Wiersma IC, Opmeer BC, de Graaf IM, Mol BW, Pajkrt E (2013) Sonographic measurement of lower uterine segment thickness to predict uterine rupture during a trial of labor in women with previous Cesarean section: a meta-analysis. Ultrasound Obstet Gynecol 42(2):132–139

    Article  CAS  Google Scholar 

  23. ACOG Practice Bulletin No (2009) 107: Induction of labor. Obstet Gynecol 114(2 Pt 1):386–397

    Google Scholar 

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, POB 151, 84101, Beer-Sheva, Israel

    Efrat Spiegel, Adi Y. Weintraub, Barak Aricha-Tamir, Yigal Ben-Harush & Reli Hershkovitz

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  1. Efrat Spiegel
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  2. Adi Y. Weintraub
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  3. Barak Aricha-Tamir
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  4. Yigal Ben-Harush
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  5. Reli Hershkovitz
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Correspondence to Efrat Spiegel.

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The authors report no conflict of interest.

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Approval was obtained from the Institutional Review Board. The procedures used in this study adhere to the tenets of the Declaration of Helsinki.

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Written informed consent was obtained from all patients prior to their participation in the study.

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Spiegel, E., Weintraub, A.Y., Aricha-Tamir, B. et al. The use of sonographic myometrial thickness measurements for the prediction of time from induction of labor to delivery. Arch Gynecol Obstet 303, 891–896 (2021). https://doi.org/10.1007/s00404-020-05811-z

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