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Pregnant women at term will be divided randomly into 3 groups:
After gynecological evaluation, women will undergo induction of labor based on obstetric evaluation according to the group they were part of.
Women presenting to the obstetric emergency room for follow-up for various obstetric/other medical conditions over 37 weeks' gestation that are candidates for labor induction will receive an explanation regarding the study and sign informed consent.
The women will be divided randomly into 3 groups:
After gynecological evaluation, women will undergo induction of labor based on obstetric evaluation according to the group they were part of.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Classic BISHOP score | Gynecological evaluation based on vaginal examination including cervical dilatation, effacement, texture, station and position. |
| |
| Modified BISHOP score | Gynecological evaluation based on vaginal examination including cervical dilatation and effacement alone. |
| |
| Cervical Length | Gynecological evaluation based on cervical length measured by transvaginal sonography. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vaginal examination. | Diagnostic Test | Cervical properties as evaluated by a vaginal examination. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time to delivery | The time from induction commencement to delivery of the newborn. | Up to 72 hours. |
| Measure | Description | Time Frame |
|---|---|---|
| BISHOP score after primary induction. | BISHOP score after primary induction. BISHOP is not an abbreviation and is just the name of the score. The minimum score is 0 and the maximum score is 13. The higher the score, the more favorable the cervix is considered before induction of labor. | Up to 24 hours. |
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Inclusion Criteria:
Exclusion Criteria:
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Female.
Pregnant women over 37 weeks' gestation that are candidates for induction of labor for obstetric/other medical indications.
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| Name | Affiliation | Role |
|---|---|---|
| Roy Lauterbach, MD | Rambam Healthcare Campus | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rambam healthcare campus | Haifa | Israel |
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| ID | Term |
|---|---|
| D058869 | Gynecological Examination |
| ID | Term |
|---|---|
| D010808 | Physical Examination |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| Transvaginal sonography. | Diagnostic Test | Cervical length as evaluated by a transvaginal sonography. |
|