Online ISSN: 2515-8260

TVS SCORE: A NEW ASSESSMENT TOOL IN SUCCESSFUL OUTCOME OF INDUCTION OF LABOUR PREDICTION

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DR. PRACHI SHUKLA1 (ASSISTANT PROFESSOR), DR. MRINAL CHOUDHARY2 (POST GRADUATE RESIDENT), DR. SIMRAN AGRAWAL3 (M.B.B.S.) & DR. PAULRAJ RAHULRAJ4 (M.B.B.S.)

Abstract

BACKGROUND: Induction of labor (IOL) is one of the most common obstetric procedure in sthe world. However, the procedure is associated with an increase in the operative vaginal or caesarean delivery and many other complications. This study has been done to evaluate the role of TVS score in prediction of successful outcome of labour induction. METHODS : The study has been performed in admitted patients in a tertiary care hospital. TVS score assessment was done for successful outcome of induction of labour prediction and compared with Bishop Score. RESULTS : Sensitivity and specificity of TVS Score in predicting successful labour induction was 90.8% and 79.2% respectively and that for Bishop score was 68.4% and 70.8% respectively. Thus, TVS Score surpassed Bishop Score in predicting successful outcome of labour prediction. The association between TVS score and induction of labour was found to be statistically significant (p-value 0.001) CONCLUSION : There is an increasing concern over induction of labour increasing operative risks and the deleterious effect that it may cause to fetus and mother as a consequence of its failure. Predicting successful outcome of labour induction is the need of the hour as not only it improves chance of fetal and maternal well being but also reduces healthcare cost. TVS Score has been found to be superior than Bishop Score and can act as an efficacious tool for predicting successful outcome of labour induction.

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