Comparison between Insulin-like Growth Factor Binding Protein-1 Level and Bishop Score as Predictor of Successful Labor Induction in Full Term Pregnancy with Preeclampsia

Introduction: preeclampsia/eclampsia contributed to 30% of maternal mortality in RSUP Dr. Kariadi. Pre-induction bishop score assessment is a standard for cervical maturity estimation. Other predictors currently being developed, including insulin-like growth factor binding protein-1 (IGFBP-1). Howev...

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Autores principales: Nurul Setiyorini, Ratnasari Dwi Cahyanti
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Publicado: Universitas Sultan Agung Semarang 2021
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spelling oai:doaj.org-article:7e4ea8e91adc4382bc917901aa957d3a2021-11-25T13:16:44ZComparison between Insulin-like Growth Factor Binding Protein-1 Level and Bishop Score as Predictor of Successful Labor Induction in Full Term Pregnancy with Preeclampsia2085-15452339-093X10.30659/sainsmed.v11i2.10919https://doaj.org/article/7e4ea8e91adc4382bc917901aa957d3a2021-01-01T00:00:00Zhttp://jurnal.unissula.ac.id/index.php/sainsmedika/article/view/10919https://doaj.org/toc/2085-1545https://doaj.org/toc/2339-093XIntroduction: preeclampsia/eclampsia contributed to 30% of maternal mortality in RSUP Dr. Kariadi. Pre-induction bishop score assessment is a standard for cervical maturity estimation. Other predictors currently being developed, including insulin-like growth factor binding protein-1 (IGFBP-1). However, there is no cut-off point for IGFBP-1 examination in full term pregnancy, especially with preeclampsia and its complications. Objective: to find IGFBP-1 levels and Bishop Score differences in preeclampsia women with induction labor. Methods: this prospective observational cohort study was conducted in preeclampsia women with gestational age ≥37 weeks planned labor induction at Obstetrics and Gynecology Ward RSUP Dr. Kariadi Semarang and networking hospital during study period (n=66). History taking, physical examination, proteinuria, cervical mucus IGFBP-1, and bishop score calculation was performed. Statistical analysis was performed with paired-t test, followed by ROC for cut-off value of successful induction prediction, and logistic regression to determine confounding variables effect on IGFBP-1 levels. Results: The average Bishop score of 66 subjects was 2.5±1.81 and 2.6±1.8 for women who deliver ≤24 labor and in labor for ≤12 hours, respectively. Although the bishop score was higher in the successful labor group, there was no significant difference between groups. Mean IGFBP-1 value was 8.29±5.033 mcg/L with median value of 10.8 mcg/L. Successful induction had significant higher IGFBP-1 levels with area-under-curve (AUC) 0.76 and 8.145 cutoff value (p=0.002, RR=5.1). Conclusion: IGFBP-1 level with cutoff point 8.145 can be used as predictor of successful labor induction in term pregnancy with preeclampsia.Nurul SetiyoriniRatnasari Dwi CahyantiUniversitas Sultan Agung Semarangarticlepreeclampsia, labor induction, insulin-like growth factor binding protein-1, bishop scoreMedicine (General)R5-920ENSains Medika, Vol 11, Iss 2, Pp 59-66 (2021)
institution DOAJ
collection DOAJ
language EN
topic preeclampsia, labor induction, insulin-like growth factor binding protein-1, bishop score
Medicine (General)
R5-920
spellingShingle preeclampsia, labor induction, insulin-like growth factor binding protein-1, bishop score
Medicine (General)
R5-920
Nurul Setiyorini
Ratnasari Dwi Cahyanti
Comparison between Insulin-like Growth Factor Binding Protein-1 Level and Bishop Score as Predictor of Successful Labor Induction in Full Term Pregnancy with Preeclampsia
description Introduction: preeclampsia/eclampsia contributed to 30% of maternal mortality in RSUP Dr. Kariadi. Pre-induction bishop score assessment is a standard for cervical maturity estimation. Other predictors currently being developed, including insulin-like growth factor binding protein-1 (IGFBP-1). However, there is no cut-off point for IGFBP-1 examination in full term pregnancy, especially with preeclampsia and its complications. Objective: to find IGFBP-1 levels and Bishop Score differences in preeclampsia women with induction labor. Methods: this prospective observational cohort study was conducted in preeclampsia women with gestational age ≥37 weeks planned labor induction at Obstetrics and Gynecology Ward RSUP Dr. Kariadi Semarang and networking hospital during study period (n=66). History taking, physical examination, proteinuria, cervical mucus IGFBP-1, and bishop score calculation was performed. Statistical analysis was performed with paired-t test, followed by ROC for cut-off value of successful induction prediction, and logistic regression to determine confounding variables effect on IGFBP-1 levels. Results: The average Bishop score of 66 subjects was 2.5±1.81 and 2.6±1.8 for women who deliver ≤24 labor and in labor for ≤12 hours, respectively. Although the bishop score was higher in the successful labor group, there was no significant difference between groups. Mean IGFBP-1 value was 8.29±5.033 mcg/L with median value of 10.8 mcg/L. Successful induction had significant higher IGFBP-1 levels with area-under-curve (AUC) 0.76 and 8.145 cutoff value (p=0.002, RR=5.1). Conclusion: IGFBP-1 level with cutoff point 8.145 can be used as predictor of successful labor induction in term pregnancy with preeclampsia.
format article
author Nurul Setiyorini
Ratnasari Dwi Cahyanti
author_facet Nurul Setiyorini
Ratnasari Dwi Cahyanti
author_sort Nurul Setiyorini
title Comparison between Insulin-like Growth Factor Binding Protein-1 Level and Bishop Score as Predictor of Successful Labor Induction in Full Term Pregnancy with Preeclampsia
title_short Comparison between Insulin-like Growth Factor Binding Protein-1 Level and Bishop Score as Predictor of Successful Labor Induction in Full Term Pregnancy with Preeclampsia
title_full Comparison between Insulin-like Growth Factor Binding Protein-1 Level and Bishop Score as Predictor of Successful Labor Induction in Full Term Pregnancy with Preeclampsia
title_fullStr Comparison between Insulin-like Growth Factor Binding Protein-1 Level and Bishop Score as Predictor of Successful Labor Induction in Full Term Pregnancy with Preeclampsia
title_full_unstemmed Comparison between Insulin-like Growth Factor Binding Protein-1 Level and Bishop Score as Predictor of Successful Labor Induction in Full Term Pregnancy with Preeclampsia
title_sort comparison between insulin-like growth factor binding protein-1 level and bishop score as predictor of successful labor induction in full term pregnancy with preeclampsia
publisher Universitas Sultan Agung Semarang
publishDate 2021
url https://doaj.org/article/7e4ea8e91adc4382bc917901aa957d3a
work_keys_str_mv AT nurulsetiyorini comparisonbetweeninsulinlikegrowthfactorbindingprotein1levelandbishopscoreaspredictorofsuccessfullaborinductioninfulltermpregnancywithpreeclampsia
AT ratnasaridwicahyanti comparisonbetweeninsulinlikegrowthfactorbindingprotein1levelandbishopscoreaspredictorofsuccessfullaborinductioninfulltermpregnancywithpreeclampsia
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