Article Sidebar
Published:
May 23, 2026DOI:
10.4314/gmj.v60i1.3Keywords:
Article Details
Articles published in the Ghana Medical Journal may not be published elsewhere without the consent of the publishers. Request for consent for reproduction of material published in the Ghana Medical Journal should be addressed to the Editor-in-Chief. The publisher of this Journal reserves the right of copyright of all articles published in the Journal. It should also be understood by all authors that articles approved for publication in the journal are also deemed for publication online by the publisher.
Ghana Medical Journal is an Open Access journal and applies the Creative Commons Attribution (CC BY) license (Creative Commons Attribution License) 4.0 International. See details on the Creative Commons website (https://creativecommons.org/licenses/by/4.0/) to articles and other content published in the Journal.
Main Article Content
Comparative analysis of transvaginal sonographic cervical assessment and Bishop Score in predicting labour induction success at a tertiary hospital in Ghana
Abstract
Objectives: To compare transvaginal sonographic cervical assessment and Bishop Score (BS) in predicting successful induction (vaginal delivery within 24 hours) among low-risk postdate pregnancies (late term and post-term) induced at a tertiary hospital in Ghana.
Design: An analytical cross-sectional study conducted between 2022 and 2023.
Participants: Women with low-risk post-date pregnancies admitted for induction of labour. Transvaginal sonographic cervical assessment and BS were done for participants before the start of induction.
Main outcome measures: The predictive abilities of the transvaginal sonographic cervical length (TVSCL), the BS and the posterior cervical angle (PCA) in predicting vaginal delivery.
Results: Of 184 women recruited, 168 were included in the final analysis. The rate of vaginal delivery was 82.1%. Successful induction occurred in 117/168 participants (69.9%) [CI:62.1-76.5]. TVSCL 2.5cm was comparable in accuracy with BS 4 in predicting vaginal delivery. For predicting vaginal delivery within 24 hours, the accuracy of the PCA at 106 was marginally higher than the BS [AUC: 62.3; 61.0], although both were statistically significant. 95% of women preferred transvaginal sonographic assessment.
Conclusion: BS and transvaginal sonographic assessment were comparable in predicting delivery when used for pre-induction cervical assessment. Transvaginal sonographic cervical assessment was better tolerated.
