Is the Bishop-score significant in predicting the success of labor induction in multiparous women?

Navve, Daniella; Orenstein, Naama; Ribak, Rachel; Daykan, Yair; Shechter‐Maor, Gil; Biron‐Shental, Tal

doi:10.1038/jp.2016.260

Cited by 13 publications

(11 citation statements)

References 15 publications

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“…In line with these findings, Navve et al (28) reported that BS is not a good predictor for IOL success, nor is it a predictor for maternal or neonatal adverse outcomes and complications. Recently, Al-Adwy et al (36) found posterior cervical angle of >99.5° yielded the best accuracy in predicting successful IOL compared with the cervical length and Bishop score.…”

Section: Discussion:-supporting

confidence: 59%

“…Also, Burgos et al (27) reported that in comparison to spontaneous onset of labor, IOL using either misoprostol or oxytocin in breech presentation at term is a reasonable and effective option and was not associated with increased perinatal morbidity or CS rates. Moreover, Navve et al (28) reported non-significant difference regarding IOL outcomes using oxytocin, vaginal prostaglandin E2 insert or a transcervical double balloon catheter and Kawakita et al (29) also reported that in women with oligohydramnios and an unfavorable cervix, misoprostol IOL was comparable to prostaglandin E2 IOL. Moreover, concerning cost/effectiveness of misoprostol IOL, Bierut et al (30) documented that IOL with use MVI generated savings from a hospital perspective in most countries and scenarios, in comparison to alternative technologies.…”

Section: Discussion:-mentioning

confidence: 99%

“…Moreover, Navve et al (28) reported that IOL in multiparous women is safe and successful regardless of the initial BS and Prado et al (35) found increased parity, increases the chance of achieving a successful VD. Recently, in a similar trial, Levine et al (3) documented that in multivariable modeling, nulliparity, BMI at delivery, and height were significantly associated with CS.…”

Section: Discussion:-mentioning

confidence: 99%

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Misoprostol Induction of Labor in Multipara Pregnant Women: A Mini-Survey for Predictors of Outcome.

MD¹,

MD²

2018

IJAR

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Objectives:To evaluate dose-related outcome of induction of labor (IOL) using misoprostol vaginal inserts (MVI) in multipara pregnant women so as to determine the appropriate dose for getting trial success defined as having vaginal delivery (VD) within 24-hr induction-todelivery (ITD) interval. Patients & Methods: 644 pregnant women underwent clinical evaluation and vaginal examination to determine Bishop score using the Simplified Bishop Score (SBS). All women received 25 µg MVI only once and were monitored for labor progress as judged by SBS and uterine contractions with fetal heart monitoring. In absence of fetal distress manifestations and membranes were still intact, but uterine contractions occurred <3 times/10 minutes, another MVI was used for a maximum of 6 doses. Uterine contraction augmentation was provided as amniotomy or/and oxytocin infusion started 4-hrs after the last MVI was placed. Study outcomes included trail success rate, number of MVI used, frequency and mode of augmentation and delivery assistance. Results: 530 women (82.3%) had VD; 159 women without augmentation, 182 women had amniotomy, 105 women received oxytocin drip and 84 women required both. Only 168 women (26.1%) had instrumentally-assisted VD. Mean ITD interval was 10.9±6.3 hr; 492 women had ITD interval <24 hr for a trial success rate of 76.4%. Cesarean section was indicted in 114 women (17.7%). Only 29 women received four, 71 three, 93 two, while 451 women received one MVI, VD rate was significantly (p<0.00001) lower among women received higher number of MVI. Statistical analyses defined high MVI dose and BMI as negative, while high parity is a positive significant predictor for trial success. High MVI dose and BMI are positive, while high SBS and high parity are negative significant predictors for long ITD interval. Kaplan-Meier regression analysis defined the appropriate MVI for IOL trial success at a mean dose of 1.5±0.039 (95% CI: 1.4-1.55). Conclusion: MVI is a satisfactory modality for IOL trial in multipara pregnant women with VD rate of 82.3% and ITD interval of <24-hr in 76.4%. Lower BMI and higher number of previous VD indicate higher possibility of trial success. SBS is appropriate for women selection for trial and follow-up and can predict outcome if combined with BMI, parity and number of MVI used.

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Section: Discussion:-supporting

confidence: 59%

Section: Discussion:-mentioning

confidence: 99%

Section: Discussion:-mentioning

confidence: 99%

See 1 more Smart Citation

Misoprostol Induction of Labor in Multipara Pregnant Women: A Mini-Survey for Predictors of Outcome.

MD¹,

MD²

2018

IJAR

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“…The statistically significant association of failed IOL and unfavorable Bishop Score is plausible as an unfavorable Bishop score is a sign of non-effaced cervix that may result in failure to achieve first stage of labor. However, the study done at Meir Hospital in Israel showed that there was no association between success of induction and pre-induction Bishop score ≤ 5 [29]. This difference could be due to the fact that the study participants were only multiparous women whose cervices efface easily but, in our study, both nulliparous and multiparous women were included.…”

Section: Discussionmentioning

confidence: 76%

Factors and outcomes associated with the induction of labor in referral hospitals of Amhara regional state, Ethiopia: a multicenter study

Debele

Cherkos

Badi

et al. 2021

BMC Pregnancy Childbirth

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Background Induction of labor is an artificial initiation of uterine contractions after fetal viability with the aim of vaginal delivery prior to the onset of spontaneous labor. Prevalence of induction of labor is increasing worldwide with subsequent increase in failure rate. However, there is limited evidence on labor induction in Ethiopia. Therefore, this study was aimed at assessing the prevalence and associated factors of failed induction of labor among women undergoing induction of labor at referral hospitals of Amhara national regional state, Ethiopia, 2016. Method A multicenter cross-sectional study was conducted at referral hospitals found in Amhara national regional state from February 01 to September 30, 2016. Multistage sampling technique was employed to select a total of 484 women who underwent labor induction. Pre-tested structured questionnaires and checklists were used to collect the data. Data were entered into EPI info version 7 and analyzed using SPSS version 20 software. Stepwise Binary Logistic regression model was fitted to identify factors associated with failed induction of labor. The level of significance was determined based on the adjusted odds ratio with 95% confidence interval at the p-value of ≤0.05. Result The prevalence of failed induction of labor among women undergoing induction of labor was 31.4% (95% CI: 27.0, 36.0). Failed induction of labor was independently predicted by a Bishop score of ≤5 (AOR = 2.1; 95% CI: 1.3, 3.6), prolonged latent first stage of labor (AOR = 2.0; 95% CI: 1.2, 3.5), induction with oxytocin alone (AOR = 4.2; 95% CI: 2.2, 8.1), nulliparity (ARO = 1.9; 95% CI: 1.2, 2.9), post term pregnancy (AOR = 4.1; 95% CI: 1.8, 9.3) and hypertensive disorder of pregnancy (AOR = 2.4; 95% CI: 1.5, 5.1). Conclusion Failed induction of labor was high in the study area compared to the reports of previous studies done in Ethiopia. The majority of the determinants of failed induction of labor were connected with unjustifiable and inconsistent indication of induction of labor. Thus, preparing standardized practical guidelines and preventing unjustifiable case selection may help reduce the current high failure rates.

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“…The Bishop Scores of >3 has been associated with increased proportion of vaginal birth in some studies 34,35 . Other studies have reported no difference in the proportion of vaginal birth among patients with Bishop Scores of <3 and >3 36,37 . In this study, low proportion of vaginal birth was observed in a group of patients with Bishop Score of >3.…”

Section: Discussionmentioning

confidence: 84%

Health Related Quality of Life Post Labour Induction With Misoprostol Versus Dinoprostone at Muhimbili National Hospital in Dar es Salaam, Tanzania: A Cross Sectional Study

Kagwisage

Balandya

Pembe

et al. 2020

EAHRJ

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Background: Labour induction using Misoprostol or Dinoprostone results to similar maternal and foetal clinical outcomes. However, the clinical outcome measures have rarely been combined with effects of interventions on patients' health related quality of life. This study aimed to assess postpartum health related quality of life of parturient after labour induction with vaginal administration of misoprostol versus dinoprostone. Methods: This was a comparative cross sectional study in which pregnant women who underwent labour induction with misoprostol and dinoprostone during the study period were included. Data were collected within 24 hours post-delivery using the 36 item short form health survey questionnaire which consists of 24 attributes distributed in five domains including bodily pains and physical performance three attributes each, mental health seven attributes, general health two attributes, social functioning six attributes and three attributes for labour induction satisfaction. We first estimated scores of all attributes in each domain using Likert scales and then the domain scores were converted into a 0 to 100 scales to express in percentage of total scores. Quality of life was compared in the two study groups using the independent samples T Test. Multivariate regression analysis was performed to control for marital status, gravidity, parity, baseline cervical status, time interval from induction to delivery and mode of delivery. Results: Women who received misoprostol reported better health related quality of life compared to those who received dinoprostone (mean score 92.89 vs. 87.25;P<.00). Misoprostol group had significantly higher scores in all domains of health related quality of life; reduced bodily pain (93.

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Is the Bishop-score significant in predicting the success of labor induction in multiparous women?

Abstract: Labor induction in multiparous women is safe and successful regardless of the initial Bishop-score. In multiparous women the Bishop-score is not a good predictor for the success of labor induction, nor is it a predictor for maternal of neonatal adverse outcomes and complications.

Cited by 13 publications

References 15 publications

Misoprostol Induction of Labor in Multipara Pregnant Women: A Mini-Survey for Predictors of Outcome.

Misoprostol Induction of Labor in Multipara Pregnant Women: A Mini-Survey for Predictors of Outcome.

Factors and outcomes associated with the induction of labor in referral hospitals of Amhara regional state, Ethiopia: a multicenter study

Health Related Quality of Life Post Labour Induction With Misoprostol Versus Dinoprostone at Muhimbili National Hospital in Dar es Salaam, Tanzania: A Cross Sectional Study

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