- Bishop score
Bishop score, also Bishop's score, is a pre-labour scoring system to assist in predicting whether induction of labour will be required. [Bishop EH. 1964. Pelvic scoring for elective induction. Obstetrics and Gynecology 24:266.]
Components
The total score is achieved by assessing the following five components on
vaginal examination :*Cervical dilatation
*Cervical effacement
*Cervical consistency
*Cervical position
*Fetal stationThey can be remembered with the mnemonic: "Call PEDS For
Parturition " = "C"ervical "P"osition, "E"ffacement, "D"ilation, "S"oftness; "F"etal "S"tation.coring
Each components is given a score of 0-2 or 0-3. The highest possible score is 13.
Interpretation
A score of 5 or less suggests that labour is unlikely to start without induction. A score of 9 or more indicates that labour will most likely commence spontaneously. [cite journal |author=Tenore J |title=Methods for cervical ripening and induction of labor |journal=Am Fam Physician |volume=67 |issue=10 |pages=2123–8 |year=2003 |pmid=12776961 [http://www.aafp.org/afp/20030515/2123.html (Incomplete) Free Text] .]
A low Bishop's score often indicates that induction is unlikely to be successful [ [http://cat.inist.fr/?aModele=afficheN&cpsidt=2381313 Cat.Inist ] ] . Some sources indicate that only a score of 8 or greater is reliably predictive of a successful induction.
Modified Bishop score
According to the Modified Bishop's pre-induction cervical scoring system, effacement has been replaced by cervical length in cm, with scores as follows-0>3cm, 1>2cm, 2>1cm, 3>0cm. [Dutta DC. Text Book of Obstetrics. 6ed. New Central Book Agency. 2001. ISBN 978-8173811425.]
References
ee also
*
List of obstetric topics
*Fetal fibronectin (fFN)External links
* [http://www.fpnotebook.com/OB32.htm Bishop score] - fpnotebook.com
* [http://www.mother-care.ca/bishop.htm Bishop score] - mother-care.ca
* [http://www.aafp.org/afp/20030515/2123.html Methods for Cervical Ripening and Induction of Labor] - aafp.org
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