ANTENATAL CERVICAL FUNNELING AS A PREDICTOR OF SUCCESSFUL VAGINAL BIRTH IN TERTIARY CARE INSTITUTION.

Aim: Methods: To Predict the accuracy of cervical funneling for successful vaginal delivery prior to labor induction Prospective cohort study in labour ward of OG department. We recruited 160 women over 3months from March 2022 to May 2022. TVS scan used for measuring the cervical funneling before onset of labour and vaginal delivery success was evaluated. A tota Results: l of 160 singleton pregnant women with intact membranes were recruited. Of these, 108 women (67.5%) had successful vaginal deliveries following induction. Cervical funneling was observed in 102 women (71.5%). The rate of successful vaginal delivery was signicantly higher in women with cervical funneling than in those without funneling (P < 0.001). Multivariable analysis showed that cervical funneling, similar to traditional measures such as the Bishop score and cervical length, BMI, onset of labour, parity was an independent predictor of mode of delivery following labor induction. Maternal BMI, estimated fetal weight and labour induction were associated with prolonged active phase of labour. Conclusions: Like the conventional methods of cervical evaluation, such as the Bishop score and cervical length, cervical funneling may serve as a useful and valid predictor of mode of delivery prior to labor induction and gestational age at which to induce labour. It can be used in counseling the patient regarding the mode of delivery.