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Background Accurate diagnosis of labor onset is especially important for the counseling about elective induction of labor. The study aimed to evaluate whether transperineal ultrasound could better predict the timing and likelihood of spontaneous labor at term. Methods This single-center study was conducted between 2018 and 2019.Data on singleton pregnant women after 39 weeks and before labor onset were retrospectively reviewed. Results All the transperineal ultrasound parameters were well reproducible between the two doctors [intraclass co