Cervical Length as a Predictor of Success of Induction of Labor in Term Pregnancy

Background: Vaginal delivery is the most important event occurring in women’s life. It carries many risks of significant concerns to the physicians. Predicting the chances of vaginal delivery is of paramount concern for the pregnant woman. Antenatal cervical length measurement has paramount importance in the prediction of labor.Objective: This study aimed to study the role of cervical length in prediction of success of induction of labor in term pregnancy.Patients and Methods: A prospective study where 140 pregnant women undergoing induction of labor for various indications were included, the cases were recruited from Obstetric Department of Shebin El-Kom Teaching Hospital in the period from October 2019 to December 2020.Results: Methods of induction was misoprostol in (75) females and amniotomy with oxytocin in (65) females. 97 Females were delivered by simple vaginal delivery, 79 females were delivered within 24 hours of induction, 18 females were delivered after 24 hours, and 43 females were delivered by caesarian section (C.S.). Indications of C.S. were mainly due to failed induction and fetal distress.Conclusions: We concluded that successful induction of labor was correlated significantly with detection of insulinlike growth factor-binding protein 1 (iGFBP-1) in cervical secretions and measurement of cervical length by transvaginal ultrasound (TVUS), IGFBP-1 detection by Actim Partus test is simple, easy bed side test that can predict successful induction of labor and measurement of cervical length by TVUS is a good predictor factor for successful induction of labor

Laparoscopic salpingectomy or hysteroscopic tubal occlusion in patients with hydrosalpinx and intracytoplasmic sperm injection outcomes

Background: Tubal factor of infertility resulting from various forms of tub peritoneal damage remains an extremely common cause of female infertility. Probably the most severe form of tubal pathology is hydrosalpinx. Objectives: To compare the efficacy of hysteroscopic tubal electrocoagulation versus laparoscopic salpingectomy for management of hydrosalpinx related infertility among patients undergoing intracytoplasmic sperm injection (ICSI).Patients and Methods: This retrospective study was conducted at outpatient clinic in Private Infertility Unit, Menoufia, Egypt, from November 2018 to August 2019. This study included 120 infertile patients who were candidate for ICSI and fulfilled inclusion and exclusion criteria, half of the patients underwent hysteroscopic tubal electrocoagulation who have laparoscopic contraindications, while the other half underwent laparoscopic salpingectomy. After tubal occlusion was done, an ICSI cycle was started with assessment of chemical pregnancy rate. Results: The rate of positive chemical pregnancy was 56.16% in hysteroscopic group and 43.84% in laparoscopic group. Conclusion: Hysteroscopic tubal electrocoagulation was found to be a successful treatment for hydrosalpinges before ICSI when laparoscopy is contraindicated with chemical pregnancy rate comparable to laparoscopic tubal disconnection