Evidence map›Paper›PMID 40704678›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2026

The anterior cervical angle: A novel predictor of vaginal birth.

Erdal Şeker, Coşkun Ümit, Hasan Süt, Mustafa Koçar, Ecem Sarıtaş, Gülşah Aynaoğlu Yıldız

Abstract read
In one paragraph

Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Observational
  2. The anterior cervical angle: A novel predictor of vaginal birth.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Erdal ŞekerDepartment of Obstetrics and Gynecology, Ankara University School of Medicine, Ankara, Türkiye.ORCID https://orcid.org/0000-0001-9818-0414
Coşkun ÜmitDepartment of Obstetrics and Gynecology, Ankara University School of Medicine, Ankara, Türkiye.
Hasan SütDepartment of Obstetrics and Gynecology, Ankara University School of Medicine, Ankara, Türkiye.
Mustafa KoçarDepartment of Obstetrics and Gynecology, Ankara University School of Medicine, Ankara, Türkiye.
Ecem SarıtaşDepartment of Obstetrics and Gynecology, Ankara University School of Medicine, Ankara, Türkiye.
Gülşah Aynaoğlu YıldızDepartment of Obstetrics and Gynecology, Ankara University School of Medicine, Ankara, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study investigates the role of anterior utero-cervical angle as a predictor of labor induction success, comparing outcomes between normal vaginal delivery and cesarean section groups.

methodsA prospective cohort study was conducted on 55 patients undergoing labor induction (46 normal vaginal delivery, 9 cesarean section). Parameters such as maternal age, weight, height, body mass index (BMI; calculated as weight in kilograms divided by the square of height in meters), cervical length, anterior cervical angle (ACA), Bishop score, and levator ani measurements were analyzed. Statistical significance was assessed using Fisher exact test, independent sample test, Mann-Whitney U test, or χ

resultsThe ACA was significantly different between normal vaginal delivery (108.02 ± 22.38°) and cesarean section (86.11 ± 26.09°) groups (P = 0.026). We determined an optimal ACA threshold of 96° for the prediction of failure of progression (sensitivity: 70%, specificity: 73%). Other significant differences included maternal weight (P = 0.0033), height (P = 0.0033), BMI (P = 0.0462), primiparity (P = 0.0161), and fetal gender (P = 0.0334). However, Bishop score, cervical length, and levator ani metrics showed no significant differences.

conclusionAlthough ACA differs significantly between vaginal delivery and cesarean section groups, its independent predictive value for induction success remains limited compared with factors like primiparity and BMI. Further prospective studies are needed to clarify its clinical utility.

Indexed as

Cervix UteriCesarean SectionDelivery, ObstetricLabor, InducedAdultBody Mass IndexFemaleHumansPredictive Value of TestsPregnancyProspective StudiesYoung Adultcesarean sectiondeliveryTransperineal ultrasoundutero‐cervical angle

Identifiers

PMID40704678
PMCPMC12724038

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.