When to Use. Why Use. Patients being evaluated for labor including possible induction. The Bishop Score for Vaginal Delivery and Induction of Pregnancy was originally developed to predict failure of elective induction in multiparous women. It is commonly considered for predicting the need for caesarean section after induction and preterm labor. Some centers recommend using the Modified Bishop Score which was developed in as an update to Bishop's original scoring system.
The scoring system was developed prior to cervical ripening agents. Moderately firm. Result: Please fill out required fields. Next Steps. Creator Insights. About the Creator Edward H. Updated May 4, Marconi AM. Recent advances in the induction of labor. Published Oct Your Privacy Rights. To change or withdraw your consent choices for VerywellHealth.
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Medically reviewed by Debra Rose Wilson, Ph. Score Induction Process Risks Tips for labor Takeaway Overview The Bishop score is a system used by medical professionals to decide how likely it is that you will go into labor soon. Understanding your score. There are several factors that your doctor will consider when calculating your score: Dilation of the cervix.
This means how far your cervix has opened in centimeters. Effacement of the cervix. This means how thin your cervix is. It is normally about 3 centimeters long. It gradually becomes thinner as labor progresses. Consistency of the cervix. This means whether your cervix feels soft or firm. Women who have had previous pregnancies usually have a softer cervix. The cervix softens before labor. Image credit: National Institutes of Health Station is the position of the baby's head relative to the bony projections of the lower pelvis called the ischial spines.
When the baby's head is at 0 station its head is even with the ischial spines. Stations divides the pelvis above and below the ischial spines into 3rds Negative numbers indicate that the head is above the ischial spines.
Positive numbers indicate its head is below the ischial spines. The texture of the cervix on examination. Firm : The cervix feels hard and rubbery. Medium: The cervix feels compressible but not soft Soft : The cervix feels mushy. The position of the cervix relative to the fetal head and maternal pelvis Reviewed by Mark Curran, M.
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