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To evaluate the reproducibility of lower uterine segment (LUS) thickness measurement before induction of labor (IOL), and to assess the relationship between LUS thickness and the outcomes after IOL.A prospective cohort study of pregnant women undergoing labor induction at term was conducted in a single tertiary hospital. Nulliparous, multiparous and women with previous cesarean section were included. Before labor induction admission, a transvaginal scan was performed, and cervical length and LUS thickness were measured off-line after delivery. Maternal and obstetrical characteristics and Bishop score were also recorded. Main labor induction outcome was overall cesarean delivery, and secondary outcomes were cesarean section for failure to progress in active phase of labor or failed IOL and cesarean section due only to failed IOL. Inter-observer agreement in LUS thickness measurement between two different operators was assessed by intraclass correlation coefficient (ICC) and Bland-Altman plots with ANOVA test to check systematic bias. Univariable and multivariable analysis were employed to evaluate the relation between clinical and sonographic characteristics and labor induction outcomes.Among 265 pregnant women, 195 (73.6%) had a vaginal delivery and 70 (26.4%) required a cesarean section. About LUS thickness measurement, the reproducibility analysis showed an excellent correlation between both operators (ICC 0.96; CI95% 0.93-0.98). In Bland-Altman graph, mean difference between both operators was 0.15 mm (CI 95% -1.84-2.14), with no evidence of systematic bias (ANOVA test p=0.46). Univariable analysis showed that LUS thickness was significantly associated to the overall cesarean delivery (p=0.002), cesarean section for failure to progress in active phase of labor or failed IOL (p=0.03) and cesarean delivery for failed IOL (p=0.037). In logistic regression models, LUS thickness was an independent predictive factor for overall cesarean section (OR 1.149; 95% CI 1.031-1.281) and cesarean section for failure to progress in active phase of labor or failed IOL (OR1.226, 95% CI 1.039-1.445).In women undergoing labor induction at term, LUS thickness measurement is feasible, reproducible and statistically associated to labor induction outcomes. This article is protected by copyright. All rights reserved.

[ES]Introducción: La OMS considera el suicidio un tema prioritario de salud pública. La incidencia en España es del 8,7 por 100.000 habitantes. La conducta suicida se relaciona con variables demográficas, factores de riesgo individuales, sociofamiliares, estresores, protectores y otros. Para poner en marcha una estrategia preventiva adecuada es necesario conocer las características epidemiológicas del suicidio en nuestro entorno, analizar la distribución de los distintos factores y el nivel de recogida de las variables relacionadas con la conducta suicida. // Material y métodos: Se recogen los datos de un Servicio de Patología Forense de las personas entre 14 y 55 años que se suicidaron entre enero de 2016 y diciembre de 2018. Se realizó un análisis toxicológico e histopatológico. Se detectaron fármacos terapéuticos, drogas ilegales y etanol. Por último, mediante los informes de los médicos de familia y médicos forenses, investigaciones policiales y entrevistas con los familiares se recogieron los datos significativos de la historia clínica y del suceso suicida. Así se consiguieron describir los datos demográficos, el mecanismo suicida (clasificado según el código ICD-10), los factores de riesgo, los factores estresantes y señales de alerta de cada sujeto.